Provider Demographics
NPI:1780883454
Name:DAVIES, OROLOBOFAA
Entity type:Individual
Prefix:
First Name:OROLOBOFAA
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OROLOBOFAA
Other - Middle Name:
Other - Last Name:ABILI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6701 CURTIS COURT
Mailing Address - Street 2:SUITE B
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-9949
Mailing Address - Country:US
Mailing Address - Phone:410-762-1503
Mailing Address - Fax:
Practice Address - Street 1:6704 CURTIS CT
Practice Address - Street 2:PHARMACY REVIEW
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6406
Practice Address - Country:US
Practice Address - Phone:410-762-1503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist