MEDICARE: ADEBUKOLA BAMIDELE

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	71660	TX

General Provider Information

NPI Number	:	1174450662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEBUKOLA BAMIDELE

Provider Business Mailing Address
First Line	:	290 STRICKLAND DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-4750
Country	:	US
Telephone Number	:	409-886-3534
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 STRICKLAND DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-4750
Country	:	US
Telephone Number	:	409-886-3534
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ ADEBUKOLA BAMIDELE ” Practice Location

Language	Start Address	Practice Location

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