Provider Demographics
NPI:1013511286
Name:DADA, AKINTUNDE OLUMUYIWA (PHARMD)
Entity type:Individual
Prefix:
First Name:AKINTUNDE
Middle Name:OLUMUYIWA
Last Name:DADA
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 1:5959 LONG PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2224
Mailing Address - Country:US
Mailing Address - Phone:972-874-6709
Mailing Address - Fax:214-222-9345
Practice Address - Street 1:5959 LONG PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2224
Practice Address - Country:US
Practice Address - Phone:972-874-6709
Practice Address - Fax:214-222-9345
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist