Provider Demographics
NPI:1366037426
Name:ODEH, EVELYN ABIEYUWA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:ABIEYUWA
Last Name:ODEH
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 1:17722 MANCHESTER POINT LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2093
Mailing Address - Country:US
Mailing Address - Phone:713-398-7731
Mailing Address - Fax:
Practice Address - Street 1:9235 N SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3160
Practice Address - Country:US
Practice Address - Phone:281-441-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist