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NPI Code Detail

MEDICARE: DR. ESTHER AGHOGHO OMOTAYO ESADAH PHARM. D.

MEDICARE: DR. ESTHER AGHOGHO OMOTAYO ESADAH PHARM. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP455798PA
2183500000XPharmacist86698CA
31835I0206XInfectious Diseases PharmacistPH200004789DC

General Provider Information

NPI Number : 1275361305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESTHER AGHOGHO OMOTAYO ESADAH PHARM. D.
Provider Business Mailing Address
First Line : 8300 COLESVILLE RD APT 1-209
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-6373
Country : US
Telephone Number : 917-530-0633
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-1301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 07/22/2024

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