Provider Demographics
NPI:1568464477
Name:AKIYODE, OLUWARANTI (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:OLUWARANTI
Middle Name:
Last Name:AKIYODE
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9917 DOUBLETREE LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7529
Mailing Address - Country:US
Mailing Address - Phone:202-806-4207
Mailing Address - Fax:202-806-4478
Practice Address - Street 1:2300 4TH STREET, N.W.
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-4207
Practice Address - Fax:202-806-4478
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022049141835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy