Provider Demographics
NPI:1982482741
Name:ADEYEMO, AYOMIPO EMMANUEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:AYOMIPO
Middle Name:EMMANUEL
Last Name:ADEYEMO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19151 E ORIOLE WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6881
Mailing Address - Country:US
Mailing Address - Phone:314-348-4711
Mailing Address - Fax:
Practice Address - Street 1:7587 S POWER RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6323
Practice Address - Country:US
Practice Address - Phone:480-988-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist