Olabode Peter Olukanni, Pharm D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Corcoran, CA. Individual provider (NPI-1).
NPI number1184396830
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1184396830
- Entity type
- Individual (NPI-1)
- Name
- Olabode Peter Olukanni
- Credential
- Pharm D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH85319 | CA | Yes |
Practice location
1500 Whitley AveCorcoran, CA 93212-2226
Phone 559-992-8020
Mailing address
906 Whistling Duck DrUpper Marlboro, MD 20774-7146
Phone 301-875-9547
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