Provider Demographics
NPI:1619610128
Name:OLUBIYI, ABIOLA ISAIAH (RPH)
Entity type:Individual
Prefix:
First Name:ABIOLA
Middle Name:ISAIAH
Last Name:OLUBIYI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 HIGHEDGE ST
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-0170
Mailing Address - Country:US
Mailing Address - Phone:469-605-1538
Mailing Address - Fax:
Practice Address - Street 1:2305 HIGHEDGE STREET
Practice Address - Street 2:
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114
Practice Address - Country:US
Practice Address - Phone:469-605-1538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist