Provider Demographics
NPI:1700843265
Name:TIJANI, AJOKE ADENIKE (RPH)
Entity Type:Individual
Prefix:
First Name:AJOKE
Middle Name:ADENIKE
Last Name:TIJANI
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 1:9805 HALDEMAN AVE
Mailing Address - Street 2:D-204
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-2245
Mailing Address - Country:US
Mailing Address - Phone:215-464-7407
Mailing Address - Fax:
Practice Address - Street 1:9805 HALDEMAN AVE
Practice Address - Street 2:D-204
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-2245
Practice Address - Country:US
Practice Address - Phone:215-464-7407
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist