Provider Demographics
NPI:1467180976
Name:ABIOLA, OLAYINKA MARIAM (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:OLAYINKA
Middle Name:MARIAM
Last Name:ABIOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BUNKER HILL CT
Mailing Address - Street 2:
Mailing Address - City:DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5159
Mailing Address - Country:US
Mailing Address - Phone:856-366-7836
Mailing Address - Fax:
Practice Address - Street 1:230 S BROADWAY
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-2724
Practice Address - Country:US
Practice Address - Phone:856-678-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI0297200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist