Individual
CHIKA IBIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 OLD PEACHTREE RD NW, LAWRENCEVILLE, GA 30043-3308
(678) 376-3220
Mailing address
1885 SILVERSTONE DR, LAWRENCEVILLE, GA 30045-7273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030828
GA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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