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Individual

DR. IFEDOLAPO M O FASINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
123 SUNNYBROOK RD STE 150, RALEIGH, NC 27610-3867
(919) 326-3395
(919) 326-3396
Mailing address
123 SUNNYBROOK RD STE 150, RALEIGH, NC 27610-3867
(919) 326-3395
(919) 326-3396

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30865
NC

Other

Enumeration date
09/09/2021
Last updated
12/30/2022
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