Provider Demographics
NPI:1275937971
Name:OLAYINKA-AMAO, OYEBIMPE (PHARMD)
Entity type:Individual
Prefix:
First Name:OYEBIMPE
Middle Name:
Last Name:OLAYINKA-AMAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:OYEBIMPE
Other - Middle Name:
Other - Last Name:OLANREWAJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5859 TRYON RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9311
Mailing Address - Country:US
Mailing Address - Phone:919-233-2929
Mailing Address - Fax:
Practice Address - Street 1:5859 TRYON RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9311
Practice Address - Country:US
Practice Address - Phone:919-233-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist