Provider Demographics
NPI:1437436003
Name:OSOTIMEHIN, FOLASADE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FOLASADE
Middle Name:
Last Name:OSOTIMEHIN
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 1:9545 DEVONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4937
Mailing Address - Country:US
Mailing Address - Phone:518-210-1707
Mailing Address - Fax:
Practice Address - Street 1:6 S MARLYN AVE
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-5021
Practice Address - Country:US
Practice Address - Phone:410-918-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist