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DR. ADESUBOMI OLUWADAMILOLA ADEYEMO PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1508466129
Individual Registrant:DR. ADESUBOMI OLUWADAMILOLA ADEYEMO PHARMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
98 W WALNUT AVE DALTON, GA 30720-8477 US
Tel: 762-209-5045 Fax: --
Tel: 762-209-5045 Fax: --
Contact information for business:
PO BOX 301 REDAN, GA 30074-0301 US
Tel: 678-431-9715 Fax: --
Tel: 678-431-9715 Fax: --
Registration Information:
NPI: 1508466129
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH028579 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
