Individual
DR. JENNIFER CHIAZOKA OMENUKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5511 CHAMBLEE DUNWOODY ROAD, DUNWOODY, GA 30338
(770) 671-9424
Mailing address
1170 CLIFTWOOD DR, RIVERDALE, GA 30296-3435
(770) 873-5478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-026135
PHARMACIST LICENSE
GA
Enumeration date
10/15/2011
Last updated
10/15/2011
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