Provider Demographics
NPI:1558840405
Name:ABAYOMI, OLUWATOSIN ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:ELIZABETH
Last Name:ABAYOMI
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 1:12906 N POINT LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2344
Mailing Address - Country:US
Mailing Address - Phone:240-515-8138
Mailing Address - Fax:
Practice Address - Street 1:9920 KEY WEST AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3455
Practice Address - Country:US
Practice Address - Phone:301-251-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-11
Last Update Date:2018-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist