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Dr. Tai H Bolaji, PHARMD,CDE
Clinic/Center in Fort Rucker, Alabama
NPI 1174687487

Tai H Bolaji is a Clinic/Center based in Fort Rucker, AL. Tai H Bolaji practices in Fort Rucker, AL and has the professional credentials of PHARMD,CDE. The NPI Number for Tai H Bolaji is 1174687487 and holds a License No. 15159 (Alabama).

The current practice location address for Tai H Bolaji is 301 E. Andrews Avenue, Fort Rucker, AL and can be reached out via phone at 334-255-7177 and via fax at 334-255-7176.

Location: 301 E. Andrews Avenue, Fort Rucker, AL, 36362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174687487
Provider Name
Tai H Bolaji
Credential
PHARMD,CDE
Provider Entity Type
Individual
Gender
Male
Address
301 E. Andrews Avenue, Fort Rucker, AL, 36362
Phone Number
334-255-7177
Fax Number
334-255-7176
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AVIATION 01 AL MILITARY
institution
Provider Business Practice Location Address Details
Address
301 E. Andrews Avenue
City
Fort Rucker
State
Alabama
Zip
36362
Phone Number
334-255-7177
Fax Number
334-255-7176
person
Provider Business Mailing Address Details
Address
301 E. Andrews Avenue
City
Fort Rucker
State
Alabama
Zip
36362
Phone Number
334-255-7177
Fax Number
334-255-7176
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
15159 (Nevada)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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