Individual
OMOTAYO LASEAN OLOWOLAYEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5403A ANNAPOLIS RD, BLADENSBURG, MD 20710-2201
(301) 277-7107
Mailing address
4506 VALIANT TRCE, BOWIE, MD 20720-4678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26683
MD
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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