Provider Demographics
NPI:1033492202
Name:ABIJO, OLUGBENGA OLUKAYODE (RPH)
Entity Type:Individual
Prefix:MR
First Name:OLUGBENGA
Middle Name:OLUKAYODE
Last Name:ABIJO
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 1:141 GOLDEN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1340
Mailing Address - Country:US
Mailing Address - Phone:615-967-6735
Mailing Address - Fax:
Practice Address - Street 1:801 ROYAL PKWY
Practice Address - Street 2:SUITE 105 (WALGREENS)
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3749
Practice Address - Country:US
Practice Address - Phone:615-889-7664
Practice Address - Fax:
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
TN32410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist