Provider Demographics
NPI:1972886166
Name:OKUNOREN, ADEDOYIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADEDOYIN
Middle Name:
Last Name:OKUNOREN
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 1:1800 E SPRING CREEK PKWY
Mailing Address - Street 2:APT 1125
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 LAKELAND DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5353
Practice Address - Country:US
Practice Address - Phone:214-321-0197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist