Individual
CHARLES O ALADESANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 478-5506
Mailing address
11203 S FRONTAGE RD, YUMA, AZ 85367-7875
(928) 308-1922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019093
AZ
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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