Individual provider · NPI-1

Dr. Olumami O Amaye, PHARMD

Pharmacist · Mankato, MN

NPI number1225633159
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1225633159
Entity type
Individual (NPI-1)
Name
Dr. Olumami O Amaye
Credential
PHARMD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist123645MNYes

Other names

  • Olumami O Amaye (Professional Name)

Practice location

1850 Adams St
Mankato, MN 56001-4864

Phone 507-625-9009

Mailing address

1850 Adams St
Mankato, MN 56001-4864

Phone 507-625-9009

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