Individual
DR. SAMUEL AYOTOLA FASANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
9420 LANHAM SERVERN RD, LANHAM, MD 20706
(301) 577-5555
Mailing address
11606 BRIGIT CT, BOWIE, MD 20720-4486
(202) 441-8307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24409
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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