Individual
DR. OLUSEGUN JOSHUA AWODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2117 BOSTON AVE, BRIDGEPORT, CT 06610-3030
(203) 212-3800
(203) 212-3802
Mailing address
2117 BOSTON AVE, BRIDGEPORT, CT 06610-3030
(203) 212-3800
(203) 212-3802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0011991
CT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT 0011991
CT
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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