Provider Demographics
NPI:1780974089
Name:ORIBIOYE, EVELYN (BPHARM)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:ORIBIOYE
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BLUE SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4126
Mailing Address - Country:US
Mailing Address - Phone:302-545-0051
Mailing Address - Fax:302-836-4541
Practice Address - Street 1:10 BLUE SPRUCE DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-4126
Practice Address - Country:US
Practice Address - Phone:302-545-0051
Practice Address - Fax:302-836-4541
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist