Provider Demographics
NPI:1720792427
Name:ASUBIOJO, ADETUNU OLAKUNBI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADETUNU
Middle Name:OLAKUNBI
Last Name:ASUBIOJO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 COLCA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-4143
Mailing Address - Country:US
Mailing Address - Phone:214-714-0778
Mailing Address - Fax:
Practice Address - Street 1:150 BAILEY RANCH RD
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3221
Practice Address - Country:US
Practice Address - Phone:682-703-4401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist