Individual
BLESSING UDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5463 CATHERS CREEK DR, POWDER SPRINGS, GA 30127-7802
(732) 277-6545
Mailing address
5463 CATHERS CREEK DR, POWDER SPRINGS, GA 30127-7802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH023444
GEORGIA STATE BOARD OF PHARMACY
GA
Enumeration date
11/22/2021
Last updated
11/22/2021
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