Individual
GEORGIA OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 CALLABRIDGE CT, CHARLOTTE, NC 28216-7669
(704) 392-3131
Mailing address
221 TASMAN DR, MOUNT HOLLY, NC 28120-7717
(704) 778-0158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30366
PHARMACIST LICENSE
NC
Enumeration date
09/29/2021
Last updated
09/29/2021
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