Individual
MR. OLUSEGUN ADESESAN BAMGBELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
MEMORIAL CORNERSTONE PHARMACY, 4003 CREEKSIDE LOOP, YAKIMA, WA 98908
(509) 248-3263
(509) 575-8700
Mailing address
2811 TIETON DRIVE, PHARMACY DEPARTMENT, YAKIMA, WA 98902-8036
(509) 575-8036
(509) 575-8700
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH60776370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60776370
PHARMACIST LICENCE
WA
Enumeration date
11/15/2019
Last updated
11/15/2019
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