Healthcare Provider Details

I. General information

NPI: 1659207405
Provider Name (Legal Business Name): ANTHONIA OLADEJI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 AIRPORT THRUWAY
COLUMBUS GA
31909-5371
US

IV. Provider business mailing address

2801 AIRPORT THRUWAY
COLUMBUS GA
31909-5371
US

V. Phone/Fax

Practice location:
  • Phone: 706-653-4227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: