Provider Demographics
NPI:1790215473
Name:SOKAN, OLUFUNKE M (RPH)
Entity Type:Individual
Prefix:MS
First Name:OLUFUNKE
Middle Name:M
Last Name:SOKAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N PINE ST RM 110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1130
Mailing Address - Country:US
Mailing Address - Phone:410-706-7403
Mailing Address - Fax:
Practice Address - Street 1:110 N PINE ST RM 110
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1130
Practice Address - Country:US
Practice Address - Phone:410-706-7403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD212591835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care