Provider Demographics
NPI:1275224453
Name:OLUJOHUNGBE, OLAMIDE CATHERINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OLAMIDE
Middle Name:CATHERINE
Last Name:OLUJOHUNGBE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JOHN F KENNEDY BLVD APT 22M
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6919
Mailing Address - Country:US
Mailing Address - Phone:212-380-6593
Mailing Address - Fax:
Practice Address - Street 1:462 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5107
Practice Address - Country:US
Practice Address - Phone:732-356-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04294000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist