Individual
LORAINE OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
780 CHURCH ST NE, MARIETTA, GA 30060-7269
(770) 427-5341
Mailing address
780 CHURCH ST NE, MARIETTA, GA 30060-7269
(770) 427-5341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021592
GA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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