NPI 1013517051

Chikelue Tagboo Ezekwueche

Practitioner Pharmacist Augusta, GA

Practice location

Address: 3209 Deans Bridge Rd, Augusta, GA 30906-4201
Phone: (706) 796-7754
Fax: (706) 796-7818
Mailing address: 4105 Elders Dr, Augusta, GA 30909-9126

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 021838 (GA)

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Registry record

NPI: 1013517051
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2020
Record last updated: 29 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.