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OLUKOREDE AJIBOYE DR.
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1053631044
Individual Registrant: OLUKOREDE AJIBOYE DR.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
26520 CACTUS AVE MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4000 Fax: 951-486-4540
Tel: 951-486-4000 Fax: 951-486-4540
Contact information for business:
26520 CACTUS AVE MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4000 Fax: 951-486-4540
Tel: 951-486-4000 Fax: 951-486-4540
Registration Information:
NPI: 1053631044
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1835P0018X | Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | CA | 63444 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
