Individual
TOLA OMOGBOYEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
801 MAIN ST, MUNSTER, IN 46321-4066
(219) 924-2491
Mailing address
3648 174TH CT APT 8D, LANSING, IL 60438-1465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026976A
IN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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