Individual
MR. ANYASOR VINCENT EHULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
343 W TRILBY ST, WRIGHTSVILLE, GA 31096-2142
(478) 864-9717
Mailing address
180 HIDDEN LAKES CT # 2, MACON, GA 31204-5068
(678) 643-2191
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH013942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH 013942
PHARMACIST LICENSE NUMBER
GA
Enumeration date
05/07/2015
Last updated
05/07/2015
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