Provider Demographics
NPI:1356573018
Name:OYENUGA, KAZIM OLADOTUN (BPHARM, PHD)
Entity type:Individual
Prefix:DR
First Name:KAZIM
Middle Name:OLADOTUN
Last Name:OYENUGA
Suffix:
Gender:M
Credentials:BPHARM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BROWNSTONE DR
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-2043
Mailing Address - Country:US
Mailing Address - Phone:484-612-2324
Mailing Address - Fax:
Practice Address - Street 1:36 BROWNSTONE DR
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-2043
Practice Address - Country:US
Practice Address - Phone:484-612-2324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442517183500000X
TX48288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist