Provider Demographics
NPI:1689734618
Name:BAKARE, AKINYEMI (RPH)
Entity Type:Individual
Prefix:
First Name:AKINYEMI
Middle Name:
Last Name:BAKARE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W DR MARTIN LUTHER KING JR BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3100
Mailing Address - Country:US
Mailing Address - Phone:813-382-1513
Mailing Address - Fax:
Practice Address - Street 1:701 W DR MARTIN LUTHER KING JR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3100
Practice Address - Country:US
Practice Address - Phone:813-849-0991
Practice Address - Fax:813-849-0992
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS301181835P1200X
FLPX30118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy