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Individual

DR. MICHAEL OLUGBEMIGA IDOWU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 4TH ST SW, WASHINGTON, DC 20024-4451
(202) 554-2144
Mailing address
1100 4TH ST SW, WASHINGTON, DC 20024-4451

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100002725
DC

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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