Provider Demographics
NPI:1912502881
Name:ALAAFIA, SUNDAY OLUKUNLE
Entity Type:Individual
Prefix:DR
First Name:SUNDAY
Middle Name:OLUKUNLE
Last Name:ALAAFIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 4TH ST APT 24
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-6158
Mailing Address - Country:US
Mailing Address - Phone:614-432-7341
Mailing Address - Fax:
Practice Address - Street 1:1319 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3312
Practice Address - Country:US
Practice Address - Phone:325-643-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist