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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ADEWALE DAVID BALOGUN, R.PH

Active Sole Proprietor

MR. ADEWALE DAVID BALOGUN, R.PH is a Pharmacotherapy Specialist healthcare provider located in ODESSA, Texas. NPI 1689894537 is currently active in the NPPES registry. Verify at CMS.

Pharmacotherapy Specialist · ODESSA, TX

Registration Details

NPI Number
1689894537
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2007 (19.297330534926 yrs)
Last Updated
Jul 8, 2007
License
37780 (TX)
Sole Proprietor
Yes

Practice Information

Address
3719 FAIRMONT DR
ODESSA, TX, 797627141
Browse TX providers · Browse ZIP 79762
Phone
4323678727
Fax
4323678727
Primary Specialty
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.