Individual
OSARETIN PEGGY OMOREGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4200 SALEM RD, COVINGTON, GA 30016-4533
(678) 212-3195
Mailing address
112 WOODBERRY PL, DECATUR, GA 30034-5548
(678) 235-1727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH032874
GA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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