Provider Demographics
NPI:1477116283
Name:IKUJUNI, OLUWATOYIN YEWANDE (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:YEWANDE
Last Name:IKUJUNI
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 1:1012 MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-5989
Mailing Address - Country:US
Mailing Address - Phone:301-404-3662
Mailing Address - Fax:
Practice Address - Street 1:5510 CHERRYWOOD LN STE B
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1045
Practice Address - Country:US
Practice Address - Phone:301-220-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD26198OtherPHARMACIST LICENSE NUMBER