Odukogbe, Collins O

Odukogbe, Collins O is an individual health care provider with primary practice located at 431 Meadowlark St , Shaw A F B SC 29152-5019. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Odukogbe, Collins O can be contacted via phone (803) 895-2273.

Contact Information

Primary practice address
431 Meadowlark St Shaw A F B SC 29152-5019
Phone: (803) 895-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 12442 South Carolina

Profile Details

NPI number 1295015584
LBN Legal business name Odukogbe, Collins O
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Aug 18th, 2011 - about 15 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 1295015584 NPPES
South Carolina Other 12442 STATE
South Carolina Other RP443290 STATE
South Carolina Other 20070 STATE

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