Provider Demographics
NPI:1689281446
Name:FATIMILEHIN, ADEBOLA OLUWATOYOSI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADEBOLA
Middle Name:OLUWATOYOSI
Last Name:FATIMILEHIN
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 1:474 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8107
Mailing Address - Country:US
Mailing Address - Phone:352-368-1886
Mailing Address - Fax:352-368-2719
Practice Address - Street 1:474 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8107
Practice Address - Country:US
Practice Address - Phone:352-368-1886
Practice Address - Fax:352-368-2719
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist