Provider Demographics
NPI:1205726643
Name:AMOSU, FUNMILAYO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FUNMILAYO
Middle Name:
Last Name:AMOSU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9763 NORTHERN LAKES LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5893
Mailing Address - Country:US
Mailing Address - Phone:240-360-3522
Mailing Address - Fax:
Practice Address - Street 1:9105 ALL SAINTS RD STE M
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1750
Practice Address - Country:US
Practice Address - Phone:240-280-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3016103K00000X
17283103K00000X
MD18103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst