Healthcare Provider Details

I. General information

NPI: 1982968947
Provider Name (Legal Business Name): MR. ARAMIDE AKINMOLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 06/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 E NORTH AVE RITE AID PHARMACY
BALTIMORE MD
21202
US

IV. Provider business mailing address

13007 OLD STAGE COACH RD
LAUREL MD
20708-1633
US

V. Phone/Fax

Practice location:
  • Phone: 410-385-3188
  • Fax:
Mailing address:
  • Phone: 301-237-3202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16640
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: