Individual
MR. SAMUEL ADEBAYO OGUNMOLAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
696 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5106
(314) 830-7881
Mailing address
696 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5106
(314) 830-7881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002001498
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934482
—
MO
Enumeration date
12/01/2020
Last updated
12/01/2020
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