Provider Demographics
NPI:1225151103
Name:AKINBIYI, OLAOLU A (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:OLAOLU
Middle Name:A
Last Name:AKINBIYI
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 BEDFORD SQUARE DR
Mailing Address - Street 2:APT 202
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4415
Mailing Address - Country:US
Mailing Address - Phone:248-790-6371
Mailing Address - Fax:248-332-8690
Practice Address - Street 1:360 MARTIN LUTHER KING JR BLVD N
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-1712
Practice Address - Country:US
Practice Address - Phone:248-335-0602
Practice Address - Fax:248-332-8960
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302034731OtherMICHIGAN PHARMACIST LICEN