MEDICARE: OLADAPO ALLI PHARMD

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	20053	MD

General Provider Information

NPI Number	:	1063879039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLADAPO ALLI PHARMD

Provider Business Mailing Address
First Line	:	9203 OXON HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9203 OXON HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4834
Country	:	US
Telephone Number	:	240-350-8207
Fax Number	:

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

Provider Enumeration Date	:	01/21/2016
Last Update Date	:	01/21/2016

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