Individual
KEITH OKOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
910 ATHENS HWY, LOGANVILLE, GA 30052-4952
(770) 554-1111
Mailing address
2521 PIEDMONT RD NE APT 2024, ATLANTA, GA 30324-6264
(215) 833-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033419
GA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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