MEDICARE: DR. KAZIM OLADOTUN OYENUGA BPHARM, PHD

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	RP442517	PA
2	183500000X	Pharmacist	48288	TX

General Provider Information

NPI Number	:	1356573018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAZIM OLADOTUN OYENUGA BPHARM, PHD

Provider Business Mailing Address
First Line	:	36 BROWNSTONE DR
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-2043
Country	:	US
Telephone Number	:	484-612-2324
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 BROWNSTONE DR
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-2043
Country	:	US
Telephone Number	:	484-612-2324
Fax Number	:

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

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	01/27/2010

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