Individual
DR. TAI H BOLAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D, CDE
Contact information
Practice address
301 E. ANDREWS AVENUE, US ARMY AEROMEDICAL CENTER, FORT RUCKER, AL 36362
(334) 255-7177
(334) 255-7176
Mailing address
301 E. ANDREWS AVENUE, US ARMY AEROMEDICAL CENTER, FORT RUCKER, AL 36362
(334) 255-7177
(334) 255-7176
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15159
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AVIATION
MILITARY
AL
Enumeration date
12/21/2006
Last updated
06/02/2025
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