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Bolaji Olasusi

Pharmacist in Weston, WI. Individual provider (NPI-1).

NPI number1790056331
StatusActive
Last updated in NPPESApr 17, 2012

Details

NPI
1790056331
Entity type
Individual (NPI-1)
Name
Bolaji Olasusi
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2012
Last updated
Apr 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist14342-040WIYes

Practice location

5305 Business Highway 51 S
Weston, WI 54476-1324

Phone 715-355-9640

Mailing address

5305 Business Highway 51 S
Weston, WI 54476-1324

Phone 715-355-9640

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