Provider Demographics
NPI:1942804018
Name:LAWAL, TOYIN S (RPH)
Entity Type:Individual
Prefix:
First Name:TOYIN
Middle Name:S
Last Name:LAWAL
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 1:5137 ANGEL FIRE RD APT 230
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-1948
Mailing Address - Country:US
Mailing Address - Phone:972-697-9810
Mailing Address - Fax:
Practice Address - Street 1:2417 N HASKELL AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3707
Practice Address - Country:US
Practice Address - Phone:972-697-9810
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
TX67136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist