Provider Demographics
NPI:1427424217
Name:OYETUNJI, DIMEJI USMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DIMEJI
Middle Name:USMAN
Last Name:OYETUNJI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 NC HIGHWAY 49 S
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7528
Mailing Address - Country:US
Mailing Address - Phone:704-454-5920
Mailing Address - Fax:
Practice Address - Street 1:4305 STATE HWY 49 S
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-2807
Practice Address - Country:US
Practice Address - Phone:704-454-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-15
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist