MODUPE MARY FAMODIMU

PLANO, TX
NPI1801221817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX  53736)
Enumeration Date2013-09-09
Last Update Date2022-04-14
Business Address
MODUPE MARY FAMODIMU Pharm.D
5501 INDEPENDENCE PKWY STE 311
PLANO, TX 75023-5468
Phone number: 832-755-3078
Mailing Address
MODUPE MARY FAMODIMU Pharm.D
8055 WINDROSE AVE APT 3121
PLANO, TX 75024-0268
Phone number: 832-755-3078