Provider Demographics
NPI:1982968947
Name:AKINMOLA, ARAMIDE
Entity Type:Individual
Prefix:MR
First Name:ARAMIDE
Middle Name:
Last Name:AKINMOLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13007 OLD STAGE COACH RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1633
Mailing Address - Country:US
Mailing Address - Phone:301-237-3202
Mailing Address - Fax:
Practice Address - Street 1:423 E NORTH AVE
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-385-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist