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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255976056 | NPPES |
| Washington | Other | PH60776370 | PHARMACIST LICENCE |
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