Provider Demographics
NPI:1285917450
Name:OLANIYAN, ABDULRASAQ ALIYU (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ABDULRASAQ
Middle Name:ALIYU
Last Name:OLANIYAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39040 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-2790
Mailing Address - Country:US
Mailing Address - Phone:586-286-5351
Mailing Address - Fax:586-286-5379
Practice Address - Street 1:39040 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-2790
Practice Address - Country:US
Practice Address - Phone:586-286-5351
Practice Address - Fax:586-286-5379
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist