Individual
DAVID OLUSEGUN OMOWANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
296 FLATBUSH AVE, BROOKLYN, NY 11217-2812
(718) 399-2716
Mailing address
150 CROWN ST, APT A8, BROOKLYN, NY 11225-2153
(718) 962-5632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0539751
NY
Other
Enumeration date
02/24/2010
Last updated
05/21/2012
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