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Individual

OMODELE OBADINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
9719 TRAVILLE GATEWAY DR, ROCKVILLE, MD 20850-7408
(301) 315-1460
Mailing address
3817 CULLINGWORTH RD, BURTONSVILLE, MD 20866-3116
(918) 376-3324

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21979
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
21979
MD
1835P1200X
Pharmacotherapy Pharmacist
21979
MD

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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