Provider Demographics
NPI:1457106247
Name:ALIMI, OLANIKE AYOBISI
Entity Type:Individual
Prefix:
First Name:OLANIKE
Middle Name:AYOBISI
Last Name:ALIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-2445
Mailing Address - Country:US
Mailing Address - Phone:620-624-5334
Mailing Address - Fax:
Practice Address - Street 1:10 W 15TH ST
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2445
Practice Address - Country:US
Practice Address - Phone:620-624-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-122169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist