Provider Demographics
NPI:1881922961
Name:OLOWOYO, BABATOPE GABRIEL (BSC, MSC,)
Entity type:Individual
Prefix:MR
First Name:BABATOPE
Middle Name:GABRIEL
Last Name:OLOWOYO
Suffix:
Gender:M
Credentials:BSC, MSC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 S KIRKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5024
Mailing Address - Country:US
Mailing Address - Phone:281-759-9347
Mailing Address - Fax:
Practice Address - Street 1:1838 S KIRKWOOD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5024
Practice Address - Country:US
Practice Address - Phone:281-759-9347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist