Provider Demographics
NPI:1720587975
Name:ADENUGA, ESTHER TEJUMOLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:TEJUMOLA
Last Name:ADENUGA
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 1:3910 TIVERTON RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2026
Mailing Address - Country:US
Mailing Address - Phone:443-985-7085
Mailing Address - Fax:
Practice Address - Street 1:10201 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3605
Practice Address - Country:US
Practice Address - Phone:410-581-4922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist