Individual
NATHANIEL OLAKUNLE FUJAMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24760 HOSPITAL ROAD, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0189
Mailing address
615 JUSTICE RD NW UNIT 211, BEMIDJI, MN 56601-6272
(330) 906-0028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126466
MN
Other
Enumeration date
12/08/2020
Last updated
04/05/2025
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