# JOSELIGLO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open Gate Pharmacy \#3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881998318
- **Authorized official:** MOJISOLA EVBUOMWAN PHARMD (PRESIDENT)
- **Authorized official phone:** (706) 323-0306

## Contact information

- **Practice address:** 1714 MANCHESTER EXPY, COLUMBUS, GA 31904-6748
- **Practice address phone:** (706) 225-0022
- **Practice address fax:** (706) 225-0020
- **Mailing address:** 2051 10TH AVE, COLUMBUS, GA 31901-1459
- **Mailing address phone:** (706) 323-0306
- **Mailing address fax:** (706) 327-3824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010162 | GA | Yes |

## Other

- **Enumeration date:** 12/23/2010
- **Last updated:** 11/06/2024