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NPI Code Detail

MEDICARE: CHRISTIANAH OLUWABUNMI AROWOLO PHARMD

MEDICARE: CHRISTIANAH OLUWABUNMI AROWOLO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist66699TX

General Provider Information

NPI Number : 1063011500
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIANAH OLUWABUNMI AROWOLO PHARMD
Provider Business Mailing Address
First Line : 4215 N MAJOR DR
Second Line :
City : BEAUMONT
State : TX
Zip : 77713-9611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2126 NALL ST
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-3716
Country : US
Telephone Number : 409-727-1426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2020
Last Update Date : 10/24/2020

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