NPI 1629676291 · live from the CMS NPI Registry
Stephanie Abiodun, PharmD
Pharmacist in Flower Mound, TX. National Provider Identifier 1629676291, active.
NPI record
| NPI | 1629676291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1100 Flower Mound Rd, Flower Mound, TX 75028 |
| Practice phone | 972-874-8421 |
| Mailing address | 2709 Summit Ridge Dr, Southlake, TX 76092 |
| Enumerated | October 15, 2020 |
| Last updated | January 26, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 49906 (TX) |
| Pharmacist | 183500000X | 15067 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.