Individual
OLATUNDUN ANIKE OLAWOYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 LAKE ST, LAKE CHARLES, LA 70605-4312
(337) 478-6042
Mailing address
4245 5TH AVE, LAKE CHARLES, LA 70607-3888
(202) 701-6221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0222369
LA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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