Individual
MR. GBENGA ISAAC OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2021 W PRATT ST, BALTIMORE, MD 21223-2242
(410) 566-1360
(410) 566-5088
Mailing address
5901 NORWAY CT, COLUMBIA, MD 21044-5732
(410) 566-1360
(410) 566-5088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13190
BOARD LICENCE
MD
Enumeration date
03/26/2007
Last updated
11/23/2020
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