Abayomi Adewodu

Individual provider Active NPI Pharmacist · High Point, NC

NPI 1043740848 · NPPES record last updated Jun 14, 2017

Key facts

NPI
1043740848
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
24913 (NC)
Practice address
1119 Eastchester Dr
High Point, NC 27265
Phone
(336) 881-1040
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
24913NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24913 NC Yes

Addresses

Primary practice location

1119 Eastchester Dr
High Point, NC 27265

Mailing address

1119 Eastchester Dr
High Point, NC 27265-3113

Other providers in High Point, NC

All providers in High Point, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.