Provider Demographics
NPI:1679237507
Name:SAVAGE, FUNMILOLA APINKE (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:FUNMILOLA
Middle Name:APINKE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 NW 107TH AVE APT 909
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4929
Mailing Address - Country:US
Mailing Address - Phone:305-761-2978
Mailing Address - Fax:
Practice Address - Street 1:729 E 9TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4553
Practice Address - Country:US
Practice Address - Phone:786-773-5845
Practice Address - Fax:786-773-5708
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist