Most Relevant Information
Provider Data
| NPI Number: | 1003053661 |
| Provider Name: | FESTUS OGUNBANJO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI02186000 |
Most Important Dates
| Enumeration Date: | 01/19/2009 |
| Last Updated: | 10/17/2012 |
Provider Practice Location
1402 NEWKIRK AVE
BROOKLYN
NY
112266522
Practice Location Phone/Fax
| Phone: | 7184340391 |
| Fax: |
Provider Mailing Location
93 WILSON AVE
PARLIN
NJ
088591669
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |