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NPI Code Detail

MEDICARE: OLUWASEYI MAKANJUOLA PHARM D

MEDICARE: OLUWASEYI MAKANJUOLA PHARM D
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
1183500000XPharmacist059822NY

General Provider Information

NPI Number : 1558755074
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUWASEYI MAKANJUOLA PHARM D
Provider Business Mailing Address
First Line : 27 DIXON AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-1938
Country : US
Telephone Number : 718-496-8849
Fax Number :
Provider Business Practice Location Address
First Line : 2271 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3903
Country : US
Telephone Number : 718-698-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2015
Last Update Date : 03/23/2015

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Directions to “ OLUWASEYI MAKANJUOLA PHARM D” Practice Location

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