Individual
INNOCENT OKAFOR MABATAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 501-4410
(614) 501-4430
Mailing address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 501-4410
(614) 501-4430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03334336
OH
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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