Provider Demographics
NPI:1518490374
Name:OSEI TUTU, EVANS (PHARMD, BCPS, BCGP)
Entity Type:Individual
Prefix:DR
First Name:EVANS
Middle Name:
Last Name:OSEI TUTU
Suffix:
Gender:M
Credentials:PHARMD, BCPS, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11114 CORNALEE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1930
Mailing Address - Country:US
Mailing Address - Phone:954-213-2320
Mailing Address - Fax:
Practice Address - Street 1:11114 CORNALEE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1930
Practice Address - Country:US
Practice Address - Phone:954-213-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-09
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45903183500000X
TX48427183500000X
VA32101835G0303X
DC3140356S1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy