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NPI Code Detail

MEDICARE: DR. ANGELA ODUNLAMI

MEDICARE: DR. ANGELA ODUNLAMI
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
1183500000XPharmacist16502MD

General Provider Information

NPI Number : 1548674294
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA ODUNLAMI
Provider Business Mailing Address
First Line : 5707 RIVERDALE RD
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-2139
Country : US
Telephone Number : 301-277-4838
Fax Number : 301-277-6236
Provider Business Practice Location Address
First Line : 5707 RIVERDALE RD
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-2139
Country : US
Telephone Number : 301-277-4838
Fax Number : 301-277-6236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 06/19/2014

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Directions to “ DR. ANGELA ODUNLAMI ” Practice Location

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