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NPI Code Detail

MEDICARE: DR. OLADIPO OLUSOJI ADEBISI PHARMD

MEDICARE:  DR. OLADIPO OLUSOJI ADEBISI  PHARMD
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
1183500000XPharmacist49187TX

General Provider Information

NPI Number : 1639456577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLADIPO OLUSOJI ADEBISI PHARMD
Provider Business Mailing Address
First Line : 3103 PALMER HWY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-6721
Country : US
Telephone Number : 409-945-0702
Fax Number :
Provider Business Practice Location Address
First Line : 3103 PALMER HWY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-6721
Country : US
Telephone Number : 409-945-0702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2011
Last Update Date : 09/25/2012

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Directions to “ DR. OLADIPO OLUSOJI ADEBISI PHARMD” Practice Location

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