Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE TITILOLA GBADAMOSI, RPH
ActivePharmacist · DIANA, TX
Registration Details
- NPI Number
- 1942447198
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2009 (17.322201096861 yrs)
- Last Updated
- May 26, 2021
- Licenses
-
PH100000271 (DC)14130 (MD)
Practice Information
- Address
-
1970 US HIGHWAY 259 S # 100DIANA, TX, 756404037Browse TX providers · Browse ZIP 75640
- Phone
- 4306252600
- Fax
- 4306252030
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
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.