Individual
ELEANYA AGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 W CLINTON ST, GRAY, GA 31032-6123
(478) 986-3592
(478) 986-9968
Mailing address
261 W CLINTON ST, GRAY, GA 31032-6123
(478) 986-3592
(478) 986-9968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019478
GA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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