Individual
ABIDEMI OLUWASEUN OGUNBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 THORNTON RD, LITHIA SPRINGS, GA 30122-1574
(678) 945-1640
Mailing address
6084 S GORDON RD, AUSTELL, GA 30168-4944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034620
GA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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