Individual
OMOBOLA TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15394 MANCHESTER RD, ELLISVILLE, MO 63011
(636) 394-6622
(636) 394-9222
Mailing address
2480 TOWN & COUNTRY LANE, TOWN & COUNTRY, MO 63131
(314) 809-3183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001003742
MO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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