Individual
REBECCA OLUWAFUNMITO BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
801 EDWIN ST APT 206, SAINT LOUIS, MO 63103-2931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020023380
MO
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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