Provider Demographics
NPI:1790660702
Name:AGBAJE, ADEJOKE (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ADEJOKE
Middle Name:
Last Name:AGBAJE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13811 MAXIMOS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-8047
Mailing Address - Country:US
Mailing Address - Phone:816-686-5751
Mailing Address - Fax:
Practice Address - Street 1:1606 HEADWAY CIR # 9017
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5123
Practice Address - Country:US
Practice Address - Phone:816-686-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist