Individual
GODWIN OSA ASEMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 284-4382
(253) 284-4385
Mailing address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 284-4382
(253) 284-4385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00021644
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
00021644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6026421
—
WA
Enumeration date
05/18/2009
Last updated
05/18/2009
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