Provider Demographics
NPI:1851668057
Name:EPOYUN, TEMITOPE AYOOLUWA
Entity Type:Individual
Prefix:DR
First Name:TEMITOPE
Middle Name:AYOOLUWA
Last Name:EPOYUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4006
Mailing Address - Country:US
Mailing Address - Phone:305-231-7454
Mailing Address - Fax:
Practice Address - Street 1:4895 PALM AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4006
Practice Address - Country:US
Practice Address - Phone:305-231-7454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist