Individual
BOLANLE OBAFEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
117 S 20TH ST, PHILADELPHIA, PA 19103-4606
(215) 867-8777
Mailing address
6350 GREENE ST APT 619, PHILADELPHIA, PA 19144-2513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452943
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452943
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
02/22/2021
Last updated
02/22/2021
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