MEDICARE: OLAJUMOKE OLAOMI

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
1	183500000X	Pharmacist	25133	MD

General Provider Information

NPI Number	:	1952826836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLAJUMOKE OLAOMI

Provider Business Mailing Address
First Line	:	2401 W BELVEDERE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 ROCK SPRING RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2607
Country	:	US
Telephone Number	:	410-638-2404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	06/10/2019

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Directions to “ OLAJUMOKE OLAOMI ” Practice Location

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