DR. OLUSEGUN JOSHUA AWODELE PHARM. D - NPI 1811279755

Q: What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 1835P0018X and a focus in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist.

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About Dr. Olusegun Joshua Awodele Pharm. D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLUSEGUN JOSHUA AWODELE PHARM. D (NPI 1811279755) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Bridgeport, Connecticut, licensed in Connecticut (PCT 0011991) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1811279755

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameDR. OLUSEGUN JOSHUA AWODELECredential: PHARM. D

Location Address2117 BOSTON AVEBridgeport, CT 06610-3030

Mailing Address2117 Boston AveBridgeport, CT 06610-3030 · (203) 212-3800 · Fax (203) 212-3802

Phone(203) 212-3800

Fax(203) 212-3802

Sole ProprietorNo

Enumeration DateSeptember 16, 2011

✔ NPI 1811279755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in CT · PCT 0011991

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License PCT.0011991 (CT)

2117 BOSTON AVE, Bridgeport, CT 06610

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