Olaide O. Ajeigbe

Individual provider Active NPI Pharmacist · Plymouth Meeting, PA

NPI 1982801064 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982801064
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
15437 (MD)
Practice address
2250 Hickory Rd
Ste 240
Plymouth Meeting, PA 19462-1047
Phone
(610) 834-1122
NPI assigned
Jul 2, 2007
Sex
Female
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
15437MDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15437 MD Yes

Addresses

Primary practice location

2250 Hickory Rd
Ste 240
Plymouth Meeting, PA 19462-1047

Mailing address

8023 Moss Bank Dr
Laurel, MD 20724-2932
Phone (301) 725-3437

Other names

  • Olaide Shonubi Other name

Other providers in Plymouth Meeting, PA

All providers in Plymouth Meeting, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.