Olubukola Agbonkonkon | Bakersfield, CA • PECOS Search

Olubukola Agbonkonkon

Pharmacist

Pharmacy Service Providers

1425 S H St, Bakersfield, CA 93304-4512

PECOS Enrollment

Based on the most recent information from CMS, provider Olubukola Agbonkonkon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619345782
Provider Type
Individual
Full Name
Agbonkonkon, Olubukola
Gender
Female

Sole Proprietor
No
Enumeration Date
9/8/2015
Last Updated
9/8/2015

Contact Information

Practice Location

1425 S H St, Bakersfield, CA 93304-4512

Unlisted Fax

Mailing Location

1425 S H St, Bakersfield, CA 93304-4512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 72772 California