Individual
BUKOLA THELMA NWADIBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 E WEST HWY, HYATTSVILLE, MD 20782-2006
(301) 277-0199
Mailing address
3605 E WEST HWY, HYATTSVILLE, MD 20782-2006
(301) 277-0199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29630
MD
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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