Provider Demographics
NPI:1851993497
Name:AYODELE, SEYI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SEYI
Middle Name:
Last Name:AYODELE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 N NAVARRO ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1431
Mailing Address - Country:US
Mailing Address - Phone:361-576-2132
Mailing Address - Fax:361-576-2133
Practice Address - Street 1:9002 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1431
Practice Address - Country:US
Practice Address - Phone:361-576-2132
Practice Address - Fax:361-576-2133
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist