Individual
MRS. OLUWASEYI FASEEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 ELTON HILLS DR NW, ROCHESTER, MN 55901-2476
(313) 721-5859
Mailing address
314 ELTON HILLS DR NW, ROCHESTER, MN 55901-2476
(313) 721-5859
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
119355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265686
PHARMACY LICENSE
MN
Enumeration date
08/30/2012
Last updated
10/23/2018
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