Individual
JUSTIN EBOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
595 PIEDMONT AVE NE, ATLANTA, GA 30308-2478
(404) 881-1750
Mailing address
595 PIEDMONT AVE NE, ATLANTA, GA 30308-2478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035190
GA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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