Provider Demographics
NPI:1962701334
Name:OKONKWO, ANTHONY AFAMEFUNA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:AFAMEFUNA
Last Name:OKONKWO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7890
Mailing Address - Country:US
Mailing Address - Phone:828-652-9543
Mailing Address - Fax:
Practice Address - Street 1:625 W HENDERSON ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7890
Practice Address - Country:US
Practice Address - Phone:828-652-9543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist