Sunday Oyedele Oyewo, PHARM.D.

Individual provider Active NPI Pharmacist · Crownpoint, NM

NPI 1770898777 · NPPES record last updated Aug 13, 2010

Key facts

NPI
1770898777
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19504 (MD)
Practice address
Crownpoint Healthcare Facility
Intersection of RT 9 and Hwy 371
Crownpoint, NM 87313
Phone
(505) 786-6344
NPI assigned
Aug 13, 2010
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19504MDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19504 MD Yes

Addresses

Primary practice location

Crownpoint Healthcare Facility
Intersection of RT 9 and Hwy 371
Crownpoint, NM 87313

Mailing address

P.O. Box 1718
2001-1 King Street
Crownpoint, NM 87313
Phone (505) 786-5818

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.