Individual
KAZEEM ADEDAYO FUNMILAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3305 GARRISON BLVD, BALTIMORE, MD 21216-1323
(443) 708-8917
Mailing address
3305 GARRISON BLVD, BALTIMORE, MD 21216-1323
(443) 708-8917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210434
VA
Other
Enumeration date
05/05/2011
Last updated
03/10/2021
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