Oluwole Abodunrin, PHARMD
Individual provider Active NPI Pharmacist · Canton, MI
NPI 1922553858 · NPPES record last updated Aug 21, 2016
Key facts
- NPI
- 1922553858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302036335 (MI)
- Practice address
- 39500 Ford Rd
Canton, MI 48187-4311 - Phone
- (734) 983-0548
- NPI assigned
- Aug 21, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302036335 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302036335 | MI | Yes |
| Ambulatory Care Pharmacist | 1835P2201X | 5302036335 | MI |
Addresses
Primary practice location
39500 Ford Rd
Canton, MI 48187-4311
Mailing address
39500 Ford Rd
Canton, MI 48187-4311
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.