Individual
OMOLOLA ONIPEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 AIRLINE DR, BOSSIER CITY, LA 71111-2122
(318) 741-6589
Mailing address
3400 AIRLINE DR, BOSSIER CITY, LA 71111-2122
(318) 741-6589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022287
LA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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