Individual
BAIDEN OPOKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 BROOK RD, GLEN ALLEN, VA 23059-4530
(804) 264-9587
Mailing address
9310 N RUN RD, GLEN ALLEN, VA 23060-3909
(956) 266-4466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212383
VA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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