Individual
MS. MODUPE ADENIRANYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E CHURCHVILLE RD, BEL AIR, MD 21014-3411
(410) 399-9691
Mailing address
1411 BONNETT PL UNIT F, BEL AIR, MD 21015-5309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18697
MD
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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