Individual
MR. AKINTOMIDE JERRY ASOOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 N CHARLES ST, BALTIMORE, MD 21218-5110
(410) 261-6112
Mailing address
2401 N CHARLES ST, BALTIMORE, MD 21218-5110
(410) 261-6112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19955
MD
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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