NPI 1053916312

Ifeanyi Jake Onwuka, PHARMD

Practitioner Pharmacist Mableton, GA

Practice location

Address: 5846 Mableton Pkwy SW, Mableton, GA 30126-3471
Phone: (770) 745-3171

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH031012 (GA)

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Registry record

NPI: 1053916312
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 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.