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Individual

JACKSON GATHURU NGUGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
193 ANNIVERSARY LN, ACWORTH, GA 30102-2045
(404) 438-9541
Mailing address
193 ANNIVERSARY LN, ACWORTH, GA 30102-2045
(404) 438-9541

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH026296
GA

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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