Individual
DR. OLANREWAJU BAMIDELE OBISESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5001 NORTH PIEDRAS, 116, EL PASO, TX 79930
(915) 564-7943
Mailing address
5001 NORTH PIEDRAS, 119, EL PASO, TX 79930
(915) 564-7943
(716) 875-8867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
049489
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
049489
NY
Other
Enumeration date
04/03/2007
Last updated
01/04/2021
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