Bamgbelu, Olusegun Adesesan

Bamgbelu, Olusegun Adesesan is an individual health care provider with primary practice located at Memorial Cornerstone Pharmacy 4003 Creekside Loop, Yakima WA 98908. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Bamgbelu, Olusegun Adesesan can be contacted via phone (509) 248-3263.

Contact Information

Primary practice address
Memorial Cornerstone Pharmacy 4003 Creekside Loop Yakima WA 98908
Phone: (509) 248-3263
Fax: (509) 575-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60776370 Washington

Profile Details

NPI number 1255976056
LBN Legal business name Bamgbelu, Olusegun Adesesan
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2019
Last updated Nov 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255976056 NPPES
Washington Other PH60776370 PHARMACIST LICENCE

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