Organization
KINGSLEY OKAFOR
Active
Other names
TRIDENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY OKAFOR (OWNER PIC)
(281) 238-8440
Entity
Organization
Contact information
Practice address
2307 4TH ST, STE 102, ROSENBERG, TX 77471-5174
(281) 238-8440
(281) 238-8449
Mailing address
2307 4TH ST, STE 102, ROSENBERG, TX 77471-5174
(281) 238-8440
(281) 238-8449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145605
—
TX
01
—
4539106
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/27/2007
Last updated
02/27/2012
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