Individual
MRS. MODUPEOLA O ADERETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 KNOLL NORTH DR, COLUMBIA, MD 21045-2370
(443) 810-2001
(443) 810-2101
Mailing address
5500 KNOLL NORTH DR, COLUMBIA, MD 21045-2370
(443) 810-2001
(443) 810-2101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18109
MD
Other
Enumeration date
11/23/2013
Last updated
07/24/2015
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