Famodimu, Modupe Mary
Famodimu, Modupe Mary is an sole proprietor health care provider with primary practice located at 5501 Independence Pkwy Ste 311 , Plano TX 75023-5468. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Famodimu, Modupe Mary can be contacted via phone (832) 755-3078.Contact Information
Primary practice address
5501 Independence Pkwy Ste 311
Plano TX 75023-5468
Phone: (832) 755-3078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 53736 | Texas |
Profile Details
| NPI number | 1801221817 |
|---|---|
| LBN Legal business name | Famodimu, Modupe Mary |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2013 |
| Last updated | Apr 14th, 2022 - about 2 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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