Provider Demographics
NPI:1750091039
Name:HUNSU, BLESSING OPEYEMI (RPH)
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:OPEYEMI
Last Name:HUNSU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S LODER AVE APT A2
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-4828
Mailing Address - Country:US
Mailing Address - Phone:315-395-2797
Mailing Address - Fax:
Practice Address - Street 1:209 MOUNT ZOAR ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14904-1231
Practice Address - Country:US
Practice Address - Phone:607-733-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist