Provider Demographics
NPI:1679946842
Name:DANMOLA, RASH-DAT (PHARM D)
Entity Type:Individual
Prefix:
First Name:RASH-DAT
Middle Name:
Last Name:DANMOLA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25258 LAIRD KNOLL ST
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3254
Mailing Address - Country:US
Mailing Address - Phone:832-287-8776
Mailing Address - Fax:
Practice Address - Street 1:18700 BECKER RD STE A101
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-6946
Practice Address - Country:US
Practice Address - Phone:346-818-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist