Individual provider · NPI-1

Adesola Adekoya, Pharm D

Pharmacist · Manassas, VA

NPI number1306284526
StatusActive
Last updated in NPPESJun 10, 2013

Details

NPI
1306284526
Entity type
Individual (NPI-1)
Name
Adesola Adekoya
Credential
Pharm D
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2013
Last updated
Jun 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202211764VAYes

Practice location

10836 Clover Ct
Manassas, VA 20109-7250

Phone 703-369-2049

Mailing address

10836 Clover Court
Manassas, VA 20109

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