Individual
TIJANI KOLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2107 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 742-5590
Mailing address
3212 CAPRIZZI LN, BOSSIER CITY, LA 71111-7441
(862) 755-7674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020834
LA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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