Provider Demographics
NPI:1770187833
Name:ALAGUN, OLAYINKA (PHARM-D)
Entity Type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:
Last Name:ALAGUN
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11539 RYAN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3993
Mailing Address - Country:US
Mailing Address - Phone:832-646-6443
Mailing Address - Fax:
Practice Address - Street 1:10420 FM 1464 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2044
Practice Address - Country:US
Practice Address - Phone:281-240-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist