Organization
AGEWELL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBIMPE OBADARE PHARMD (PRESIDENT)
(443) 520-0563
Entity
Organization
Contact information
Practice address
9520 BERGER RD, SUITE 212, COLUMBIA, MD 21046-1501
(443) 520-0563
Mailing address
9520 BERGER RD, SUITE 212, COLUMBIA, MD 21046-1501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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