Individual provider · Type 1 NPI
Modupe Mary Famodimu, PharmD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Plano, TX
Practice location
5501 Independence Pkwy Ste 311
Plano, TX 75023-5468
Mailing address
8055 Windrose Ave Apt 3121
Plano, TX 75024-0268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 53736 (TX) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: 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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About NPI 1801221817
Modupe Mary Famodimu, PharmD's National Provider Identifier is 1801221817, issued on Sep 9, 2013. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Plano, TX. The record was last updated on Apr 14, 2022.