Olatunbosun Antonissen, RPH
Pharmacist in Wilmington, NC. Individual provider (NPI-1).
NPI number1215229331
StatusActive
Last updated in NPPESMar 7, 2014
Details
- NPI
- 1215229331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Olatunbosun Antonissen
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2011
- Last updated
- Mar 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 15694 | NC | Yes |
Other names
- Olatunbosun Olatokunbo Antonissen (Other Name)
Practice location
6805 Parker Farm DrAttention: Pharmacy
Wilmington, NC 28405-3168
Phone 910-256-4159 · Fax 910-256-7868
Mailing address
6805 Parker Farm DrAttention: Pharmacy
Wilmington, NC 28405-3168
Phone 910-256-4159 · Fax 910-256-7868
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