Provider Demographics
NPI:1669690665
Name:KOLAWOLE, OLADAPO AJIBOLA (MS, PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLADAPO
Middle Name:AJIBOLA
Last Name:KOLAWOLE
Suffix:
Gender:M
Credentials:MS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7246
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20907
Mailing Address - Country:US
Mailing Address - Phone:202-444-7755
Mailing Address - Fax:202-444-4443
Practice Address - Street 1:3800 RESERVOIR RD NW # M7106
Practice Address - Street 2:MAIN BUILDING
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-7755
Practice Address - Fax:202-444-4443
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD126071835P1200X, 1835X0200X
DC1835P1200X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology