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Individual

MR. ADEBAYO ANTHONY FALODUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
37 BROADWAY, NEW YORK, NY 10006-3001
(212) 425-8460
(212) 269-5259
Mailing address
37 BROADWAY, NEW YORK, NY 10006-3001
(212) 425-8460
(212) 269-5259

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039861
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01540638
MMIS
NY
Enumeration date
02/07/2008
Last updated
02/07/2008
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