Individual
ABDUL RAHEEM MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 TOWNE LAKE PKWY, WOODSTOCK, GA 30189
(770) 517-1022
Mailing address
116 LOVE LN, WOODSTOCK, GA 30188-4281
(252) 646-6605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031625
GA
Other
Enumeration date
01/10/2018
Last updated
08/31/2019
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