Provider Demographics
NPI:1245543040
Name:ADEWOYE, OYEJIDE JULIUS (PHARM D)
Entity type:Individual
Prefix:MR
First Name:OYEJIDE
Middle Name:JULIUS
Last Name:ADEWOYE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4746 TWIN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-3038
Mailing Address - Country:US
Mailing Address - Phone:409-960-6394
Mailing Address - Fax:
Practice Address - Street 1:4746 TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-3038
Practice Address - Country:US
Practice Address - Phone:409-960-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist