Provider Demographics
NPI:1326630534
Name:AKHIGBE, ROTIMI OISOYEMI
Entity Type:Individual
Prefix:DR
First Name:ROTIMI
Middle Name:OISOYEMI
Last Name:AKHIGBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 FOREST LN STE 140
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7939
Mailing Address - Country:US
Mailing Address - Phone:972-276-7071
Mailing Address - Fax:972-276-7074
Practice Address - Street 1:2046 FOREST LN STE 140
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7939
Practice Address - Country:US
Practice Address - Phone:972-276-7071
Practice Address - Fax:972-276-7074
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist