Organization
ODU PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL OGUNLEYE (PHARMACIST)
(267) 297-5279
Entity
Organization
Contact information
Practice address
1618 W OLNEY AVE, PHILADELPHIA, PA 19141-1713
(267) 297-5056
Mailing address
1618 W OLNEY AVE, PHILADELPHIA, PA 19141-1713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482383
PA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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