Individual
MODINAT FADEKE ABIODUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1250 TOM HALL ST, FORT MILL, SC 29715-7000
(803) 548-4699
Mailing address
1250 TOM HALL ST, FORT MILL, SC 29715-7000
(803) 548-4699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28460
NC
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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