Individual
IKEOLA ABIOLA OMOLAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 LEESBURG PIKE, FALLS CHURCH, VA 22041-3207
(703) 253-0022
Mailing address
5590 MALONE RIDGE ST UNIT 3205, ALEXANDRIA, VA 22312-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26111
MD
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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