IndividualActive
Collins Odukogbe, PHARMD
NPI 1295015584 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Shaw a F B, SC
Provider details
- NPI number
- 1295015584
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 12442 (SC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
431 Meadowlark St
Shaw a F B, SC 29152-5019
Phone: (803) 895-2273
Approximate (ZIP-level) locationGet directions
Mailing address
164 Seaton Ridge Dr
Blythewood, SC 29016-9246
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2011-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.