Healthcare Provider Details

I. General information

NPI: 1326375221
Provider Name (Legal Business Name): FOYEKE FAGBOHUN OGUNFUYE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 E HEBRON PKWY
CARROLLTON TX
75010-2009
US

IV. Provider business mailing address

1804 E HEBRON PKWY
CARROLLTON TX
75010-2009
US

V. Phone/Fax

Practice location:
  • Phone: 972-939-1977
  • Fax: 972-395-3744
Mailing address:
  • Phone: 972-939-1977
  • Fax: 972-395-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45681
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: