Individual
BOLAJI OLASUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 BUSINESS HIGHWAY 51 S, WESTON, WI 54476-1324
(715) 355-9640
Mailing address
5305 BUSINESS HIGHWAY 51 S, WESTON, WI 54476-1324
(715) 355-9640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14342-040
WI
Other
Enumeration date
01/12/2012
Last updated
04/17/2012
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