Individual
AZEEZ OLABODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 LANCASTER DR NE, SALEM, OR 97301-4733
(503) 585-7616
Mailing address
4014 ADEN PL NE, SALEM, OR 97305-1790
(817) 983-8122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016823
OR
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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