Provider Demographics
NPI:1043812126
Name:QUADRY, OLUWASEMINIYANU (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLUWASEMINIYANU
Middle Name:
Last Name:QUADRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:OLUWASEMINIYANU
Other - Middle Name:
Other - Last Name:AKINYOSOYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3367 RICHLAND VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-1800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6520 MEMPHIS ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-2402
Practice Address - Country:US
Practice Address - Phone:908-388-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026400A183500000X
TN42615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist