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Individual

EMMANUEL I FARIYIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 BOULEVARD SE, ATLANTA, GA 30312-3428
(404) 624-0022
(404) 627-0309
Mailing address
1351 ECHO MILL CT, POWDER SPRINGS, GA 30127-4984
(678) 457-7989
(678) 567-2915

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020039
GA

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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