Healthcare Provider Details

I. General information

NPI: 1528911179
Provider Name (Legal Business Name): OLUKAYODE OLAPO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 MISSILE AVE
MINOT ND
58705
US

IV. Provider business mailing address

194 MISSILE AVE
MINOT ND
58705
US

V. Phone/Fax

Practice location:
  • Phone: 701-723-5296
  • Fax:
Mailing address:
  • Phone: 701-723-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46669
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: