Provider Demographics
NPI:1740571488
Name:ADEYEMI, OLABISI JANET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OLABISI
Middle Name:JANET
Last Name:ADEYEMI
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 1:3539 DOLFIELD AVE.
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-466-0322
Mailing Address - Fax:410-466-0324
Practice Address - Street 1:3539 DOLFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6125
Practice Address - Country:US
Practice Address - Phone:410-466-0322
Practice Address - Fax:410-466-0324
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441475183500000X
MD18524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist