Individual
EVELYN OBAWOYE AMBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5270 PEACHTREE PKWY STE 114A, PEACHTREE CORNERS, GA 30092-2508
(678) 691-9089
Mailing address
PO BOX 930355, NORCROSS, GA 30003-0355
(678) 428-2897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029494
GA
Other
Enumeration date
10/04/2017
Last updated
02/16/2023
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