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Individual

ADETOLA ADEMOLU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D, BCPS

Contact information

Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(832) 465-8143
Mailing address
7219 WINDWATER LAGOON, HOUSTON, TX 77036-4390
(832) 465-8143

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
46870
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46870
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
07/18/2012
Last updated
07/18/2012
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