MEDICARE: MOYOSORE O AKINRIMISI

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
1	183500000X	Pharmacist	12520	SC
2	183500000X	Pharmacist	18683	NC

General Provider Information

NPI Number	:	1720337090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOYOSORE O AKINRIMISI

Provider Business Mailing Address
First Line	:	158 HIGHWAY 274
Second Line	:
City	:	LAKE WYLIE
State	:	SC
Zip	:	29710-6045
Country	:	US
Telephone Number	:	803-831-2605
Fax Number	:	803-831-9717

Provider Business Practice Location Address
First Line	:	158 HIGHWAY 274
Second Line	:
City	:	LAKE WYLIE
State	:	SC
Zip	:	29710-6045
Country	:	US
Telephone Number	:	803-831-2605
Fax Number	:	803-831-9717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2012
Last Update Date	:	09/02/2012

Similar Medicare Providers

1306805916 — AL GLAZA
Practice Location Address:

146 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 803-831-2345
Practice Fax: 803-831-2007

1326366493 — WAL-MART STORES EAST LP
Practice Location Address:

175 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 803-619-7028
Practice Fax: 803-619-7022

1083032999 — MR. GERARDO MARTIN RPH.
Practice Location Address:

175 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 803-619-7028
Practice Fax:

1194195925 — PUBLIX SUPER MARKETS INC
Practice Location Address:

158 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 803-831-5672
Practice Fax: 803-753-8398

1922479559 — WAL-MART STORES EAST, LP
Practice Location Address:

175 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 479-204-8550
Practice Fax:

1194376491 — LAKE WYLIE MODERN DENTISTRY, PC
Practice Location Address:

140 HIGHWAY 274
LAKE WYLIE, SC
29710-6045

Practice Phone: 803-752-0565
Practice Fax:

Directions to “ MOYOSORE O AKINRIMISI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.