Olusoji Akanwo, PHARMACIST

Individual provider Active NPI Pharmacist · Anza, CA

NPI 1730656349 · NPPES record last updated Nov 1, 2018

Key facts

NPI
1730656349
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
46882 (CA)
Practice address
56555 Hwy 371
Anza, CA 92539
Phone
(951) 763-7670
Fax
(951) 763-7670
NPI assigned
Nov 1, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
46882CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Time Pharmaceuticals Inc Past Accepting new patients
Rite Time Pharmaceuticals Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46882 CA Yes

Addresses

Primary practice location

56555 Hwy 371
Anza, CA 92539

Mailing address

PO Box 390415
Anza, CA 92539-0415
Phone (951) 763-7670

Other providers in Anza, CA

All providers in Anza, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.