Individual
LOLA LAWAL ISHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 7TH AVE E, NORTH SAINT PAUL, MN 55109-3010
(651) 770-6606
Mailing address
2117 VERMILLION CURV, WOODBURY, MN 55129-6225
(651) 503-7419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115449
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
115449
MN
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801126214
—
MN
Enumeration date
09/09/2009
Last updated
06/13/2012
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