MEDICARE: TOYIN S LAWAL RPH

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	67136	TX

General Provider Information

NPI Number	:	1942804018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOYIN S LAWAL RPH

Provider Business Mailing Address
First Line	:	5137 ANGEL FIRE RD APT 230
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-1948
Country	:	US
Telephone Number	:	972-697-9810
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 N HASKELL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3707
Country	:	US
Telephone Number	:	972-697-9810
Fax Number	:

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

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	11/29/2020

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