Oliver Osadebe Anam, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pembroke Pines, FL

NPI 1093047482 · NPPES record last updated Feb 10, 2010

Key facts

NPI
1093047482
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PS25124 (FL)
Practice address
966 NW 100TH Ave
Pembroke Pines, FL 33024-4372
Phone
(305) 332-9024
Fax
(954) 437-9879
NPI assigned
Feb 10, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS25124FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS25124 FL Yes

Addresses

Primary practice location

966 NW 100TH Ave
Pembroke Pines, FL 33024-4372

Mailing address

966 NW 100TH Ave
Pembroke Pines, FL 33024-4372
Phone (305) 332-9024

Other providers in Pembroke Pines, FL

All providers in Pembroke Pines, FL · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

Sources for this page

Verify at the official NPI Registry.