Provider Demographics
NPI:1992162846
Name:AJAO-OJEDELE, AMUDAT AJIKE (RPH)
Entity type:Individual
Prefix:MRS
First Name:AMUDAT
Middle Name:AJIKE
Last Name:AJAO-OJEDELE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2617
Mailing Address - Country:US
Mailing Address - Phone:216-932-3574
Mailing Address - Fax:216-932-3574
Practice Address - Street 1:26251 BLUESTONE BLVD
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2826
Practice Address - Country:US
Practice Address - Phone:216-242-0000
Practice Address - Fax:440-953-2494
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist