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MRS. WURAOLA OLUBUNMI IDOWU AJIBADE R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1295034783

Individual Registrant:
MRS. WURAOLA OLUBUNMI IDOWU AJIBADE R.PH.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4694 FORSYTH RD RITE AID MACON, GA 31210-4420 US
Tel: 478-474-3077  Fax: 478-474-1759

Contact information for business:
4694 FORSYTH RD RITE AID MACON, GA 31210-4420 US
Tel: 478-474-3077  Fax: 478-474-1759

Registration Information:
NPI: 1295034783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA19479

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI NUMBER1659470821GA01




HEALTH CARE JOBS GA - Page 1



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