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MR. RAPHAEL AYEGBA AGBALI R.PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1518118900

Individual Registrant:
MR. RAPHAEL AYEGBA AGBALI R.PH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3200 N ASHLEY ST  VALDOSTA, GA 31602-5912 US
Tel: 229-242-3007  Fax: 229-242-5831

Contact information for business:
3200 N ASHLEY ST  VALDOSTA, GA 31602-5912 US
Tel: 229-242-3007  Fax: 229-242-5831

Registration Information:
NPI: 1518118900
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA024485

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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