Individual
BOLUTIFE LADELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10125 WARD RD, DUNKIRK, MD 20754
(240) 618-6062
Mailing address
19718 BRASSIE PL, MONTGOMERY VILLAGE, MD 20886-1900
(240) 618-6062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29718
MD
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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