Individual
ACHINIKE OFOLETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
10650 NW 29TH TER, DORAL, FL 33172-2195
(305) 262-7004
(305) 262-7006
Mailing address
22418 SW 94TH PATH, CUTLER BAY, FL 33190-1263
(786) 326-8058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS24628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS24628
PHARMACIST LICENSE
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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