Provider Demographics
NPI:1649579194
Name:ONANEYE, MUTALUB OLAYINKA (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:MUTALUB
Middle Name:OLAYINKA
Last Name:ONANEYE
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 4TH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2055
Mailing Address - Country:US
Mailing Address - Phone:302-654-4493
Mailing Address - Fax:302-654-5380
Practice Address - Street 1:800 W 4TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-2055
Practice Address - Country:US
Practice Address - Phone:302-654-4493
Practice Address - Fax:302-654-5380
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003612183500000X
PARP440884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist