Provider Demographics
NPI:1922647155
Name:LADIPO-AJAYI, BIBILOLA (PHARM D)
Entity Type:Individual
Prefix:
First Name:BIBILOLA
Middle Name:
Last Name:LADIPO-AJAYI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MISS
Other - First Name:BIBILOLA
Other - Middle Name:FEHINTOLA
Other - Last Name:OMOLOJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:170 HEARTHSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3502
Mailing Address - Country:US
Mailing Address - Phone:832-526-9557
Mailing Address - Fax:
Practice Address - Street 1:10210 GROGANS MILL RD STE 355
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1143
Practice Address - Country:US
Practice Address - Phone:832-526-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16478101YA0400X
TX49485183500000X
TX88708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No183500000XPharmacy Service ProvidersPharmacist