Provider Demographics
NPI:1649990391
Name:ADEDEJI, OLUWASEUN OLUWASOLAPE (RPH)
Entity type:Individual
Prefix:MRS
First Name:OLUWASEUN
Middle Name:OLUWASOLAPE
Last Name:ADEDEJI
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 1:14720 BRANCHWEST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4180
Mailing Address - Country:US
Mailing Address - Phone:832-933-9695
Mailing Address - Fax:
Practice Address - Street 1:1544 KENFOREST DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2165
Practice Address - Country:US
Practice Address - Phone:832-230-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist