Individual
ADENIYI NATHAN DARAMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
7060 DAWN WAY, FONTANA, CA 92336-4258
(909) 829-6386
Mailing address
7060 DAWN WAY, FONTANA, CA 92336-4258
(909) 829-6386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75166
CA
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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