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Modupe Mary Famodimu, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Plano, Texas
NPI 1801221817

Modupe Mary Famodimu is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Plano, TX and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Modupe Mary Famodimu practices in Plano, TX and has the professional credentials of PHARMD. The NPI Number for Modupe Mary Famodimu is 1801221817 and holds a License No. 53736 (Texas).

The current practice location address for Modupe Mary Famodimu is 5501 Independence Pkwy Ste 311, Plano, TX and can be reached out via phone at 832-755-3078.

Location: 5501 Independence Pkwy Ste 311, Plano, TX, 75024-0268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801221817
Provider Name
Modupe Mary Famodimu
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
5501 Independence Pkwy Ste 311, Plano, TX, 75024-0268
Phone Number
832-755-3078
Fax Number
Provider Enumeration Date
09/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Independence Pkwy Ste 311
City
Plano
State
Texas
Zip
75023-5468
Phone Number
832-755-3078
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Independence Pkwy Ste 311
City
Plano
State
Texas
Zip
75023-5468
Phone Number
832-755-3078
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
53736 (Texas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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