Individual
LOBE ONKISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 SHORTER AVE SW, ROME, GA 30165-4164
(706) 234-5331
Mailing address
4413 IDLEWOOD LN, TUCKER, GA 30084-6455
(206) 397-6445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032366
GA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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