Organization
THEODORA A OKAFOR
Active
Other names
CHINO MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORA OKAFOR (PHARMACY MANAGER AND OWNER)
(909) 591-6038
Entity
Organization
Contact information
Practice address
5365 WALNUT AVE STE D, CHINO, CA 91710-2622
(909) 591-6038
(909) 591-4709
Mailing address
5365 WALNUT AVE STE D, CHINO, CA 91710-2622
(909) 591-6038
(909) 591-4709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY38936
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028505
PK
—
05
—
PHA389360
—
CA
Enumeration date
02/15/2007
Last updated
09/19/2025
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