NPI 1104132075

Adepero Enitan Odusanya

Practitioner Pharmacist Riverdale, MD

Practice location

Address: 6806 Riverdale Rd, Riverdale, MD 20737-1802
Phone: (301) 429-9122
Fax: (301) 429-9286

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17825 (MD)

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Registry record

NPI: 1104132075
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2010
Record last updated: 29 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.