Provider Demographics
NPI:1154761039
Name:AKINDOJU, BOLAJI A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BOLAJI
Middle Name:A
Last Name:AKINDOJU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 HAMPTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8616
Mailing Address - Country:US
Mailing Address - Phone:770-565-9938
Mailing Address - Fax:770-579-0386
Practice Address - Street 1:2639 HAMPTON PARK DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8616
Practice Address - Country:US
Practice Address - Phone:770-565-9938
Practice Address - Fax:770-579-0386
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist