Provider Demographics
NPI:1760773402
Name:OLADAPO, ADEWALE AYODEJI (PHARD)
Entity Type:Individual
Prefix:DR
First Name:ADEWALE
Middle Name:AYODEJI
Last Name:OLADAPO
Suffix:
Gender:M
Credentials:PHARD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-5219
Mailing Address - Country:US
Mailing Address - Phone:717-637-3744
Mailing Address - Fax:717-637-7102
Practice Address - Street 1:301 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-5219
Practice Address - Country:US
Practice Address - Phone:717-637-3744
Practice Address - Fax:717-637-7102
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441587183500000X
MD20078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist