Provider Demographics
NPI:1336463801
Name:ALLI, SEMIU OLADAPO JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SEMIU
Middle Name:OLADAPO
Last Name:ALLI
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SEMIU
Other - Middle Name:DAPO
Other - Last Name:ALLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:330 MONROE ST
Mailing Address - Street 2:UNIT 2L
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7611
Mailing Address - Country:US
Mailing Address - Phone:203-589-7807
Mailing Address - Fax:
Practice Address - Street 1:330 MONROE ST
Practice Address - Street 2:UNIT 2L
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7611
Practice Address - Country:US
Practice Address - Phone:203-589-7807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054145183500000X
NJ28RI03323300183500000X
FLPS43770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist