MEDICARE: DR. OYINLOLA OPE BOLA FASHINA 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
1	183500000X	Pharmacist		DC

General Provider Information

NPI Number	:	1215026091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OYINLOLA OPE BOLA FASHINA PHARM.D.

Provider Business Mailing Address
First Line	:	12804 TIMBER VIEW CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-3500
Country	:	US
Telephone Number	:	301-879-2187
Fax Number	:	202-529-6081

Provider Business Practice Location Address
First Line	:	12804 TIMBER VIEW CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-3500
Country	:	US
Telephone Number	:	301-879-2187
Fax Number	:	202-529-6081

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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