Provider Demographics
NPI:1326375221
Name:OGUNFUYE, FOYEKE FAGBOHUN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FOYEKE
Middle Name:FAGBOHUN
Last Name:OGUNFUYE
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 1:1804 E HEBRON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2009
Mailing Address - Country:US
Mailing Address - Phone:972-939-1977
Mailing Address - Fax:972-395-3744
Practice Address - Street 1:1804 E HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2009
Practice Address - Country:US
Practice Address - Phone:972-939-1977
Practice Address - Fax:972-395-3744
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist