Provider Demographics
NPI:1093526030
Name:OGUNTIMEIN, BABAJIDE OLANREWAJU (BPHARM , PHD)
Entity type:Individual
Prefix:DR
First Name:BABAJIDE
Middle Name:OLANREWAJU
Last Name:OGUNTIMEIN
Suffix:
Gender:M
Credentials:BPHARM , PHD
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Mailing Address - Street 1:5255 LOUGHBORO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2696
Mailing Address - Country:US
Mailing Address - Phone:202-537-4171
Mailing Address - Fax:202-537-0072
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2696
Practice Address - Country:US
Practice Address - Phone:202-537-4171
Practice Address - Fax:202-537-0072
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPH2339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist