Individual
DR. PRINCE AYODELE ADEKOYA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5403 ANNAPOLIS RD, BLADENSBURG, MD 20710-2201
(301) 277-7107
(301) 277-7127
Mailing address
16806 SLEEPY SPRING CT, BOWIE, MD 20716-3501
(240) 731-3766
(301) 277-7127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15597
MD
1835G0303X
Geriatric Pharmacist
15597
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
15597
MD
1835P2201X
Ambulatory Care Pharmacist
15597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15597
LICENSE NUMBER
MD
Enumeration date
09/20/2006
Last updated
12/23/2020
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