Provider Demographics
NPI:1629529854
Name:ADEDOYIN, JOSHUA (RPH)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:ADEDOYIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:
Other - Last Name:ADEDOYIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:701 M.L.K JR BLVD SUITE 1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3349
Mailing Address - Country:US
Mailing Address - Phone:813-849-0991
Mailing Address - Fax:
Practice Address - Street 1:701 WEST DOCTOR M.L.K JR BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3449
Practice Address - Country:US
Practice Address - Phone:813-849-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist