Individual
DR. BOLANLE MOTUNRAYO SOYOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
400 LABARRE RD, NEW ORLEANS, LA 70121-3840
(504) 703-8896
Mailing address
400 LABARRE RD, NEW ORLEANS, LA 70121-3840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022738
LA
183500000X
Pharmacist
66467
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
022738
LA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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