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Individual

ENIOLA O LEYIMU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
864 CAMP FRANCIS JOHNSON RD, ORANGE PARK, FL 32065-5808
(904) 276-7531
Mailing address
864 CAMP FRANCIS JOHNSON RD, ORANGE PARK, FL 32065-5808
(904) 276-7531

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
PU4479
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS23710
FL

Other

Enumeration date
06/18/2010
Last updated
06/18/2010
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