MEDICARE: AYOOLUWA STEPHANIE TONADE

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	RP454740	PA

General Provider Information

NPI Number	:	1083200703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYOOLUWA STEPHANIE TONADE

Provider Business Mailing Address
First Line	:	4616 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-1218
Country	:	US
Telephone Number	:	215-329-4840
Fax Number	:	215-225-7318

Provider Business Practice Location Address
First Line	:	3260 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-5008
Country	:	US
Telephone Number	:	215-225-9704
Fax Number	:

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

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	12/16/2020

Similar Medicare Providers

1720177470 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

3260 NORTH BROAD STREET
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-225-9704
Practice Fax:

1811352388 — SELAMAWIT TEKLU PHARM D
Practice Location Address:

3260 N BROAD ST
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-225-9704
Practice Fax:

1275187197 — MR. KEVIN LAM RPH
Practice Location Address:

3260 N BROAD ST
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-225-9704
Practice Fax:

1689348641 — CHIZOBA AMUCHIE PHARMD
Practice Location Address:

3260 N BROAD ST
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-225-9704
Practice Fax:

1982389813 — MATTHEW VIGGIANO MD
Practice Location Address:

3222 N BROAD ST
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-707-1800
Practice Fax: 215-707-3644

1497690515 — TEMPLE UNIVERSITY HOSPITAL, INC
Practice Location Address:

3260 N BROAD ST
PHILADELPHIA, PA
19140-5008

Practice Phone: 215-707-2450
Practice Fax: 215-753-2120

Directions to “ AYOOLUWA STEPHANIE TONADE ” 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.