Individual
KEHINDE 0 FASORANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2605 HAMILTON MILL RD, BUFORD, GA 30519-4106
(470) 783-0199
Mailing address
2605 HAMILTON MILL RD, BUFORD, GA 30519-4106
(470) 783-0199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03118400
NJ
183500000X
Pharmacist
RP038211L
PA
183500000X
Pharmacist
Primary
RPH034213
GA
Other
Enumeration date
07/08/2010
Last updated
08/31/2023
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