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Individual

DR. ALPHONSE OKECHUKWU OKIBEDI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D

Contact information

Practice address
5000 FLOYD RD SW, M, MABLETON, GA 30126-1608
(770) 819-9420
Mailing address
2148 CHASEFORD LN, POWDER SPRINGS, GA 30127-5637
(404) 402-2902

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024723
GA

Other

Enumeration date
09/27/2011
Last updated
09/27/2011
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