Individual
FADEKE JAFOJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4248 GRACEWOOD PARK DR, ELLENWOOD, GA 30294-2488
(678) 595-7485
Mailing address
4248 GRACEWOOD PARK DR, ELLENWOOD, GA 30294-2488
(678) 595-7485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016652
GA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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