Provider Demographics
NPI:1780016055
Name:SHOLARIN, ABISOLA OLUKEMI
Entity Type:Individual
Prefix:MRS
First Name:ABISOLA
Middle Name:OLUKEMI
Last Name:SHOLARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ABISOLA
Other - Middle Name:OLUKEMI
Other - Last Name:ELESHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1401 RHODE ISLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3708
Mailing Address - Country:US
Mailing Address - Phone:202-636-3648
Mailing Address - Fax:202-636-8399
Practice Address - Street 1:1401 RHODE ISLAND AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3708
Practice Address - Country:US
Practice Address - Phone:202-636-3648
Practice Address - Fax:202-636-8399
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist