Adesola Adebunmi

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Alpharetta, GA

NPI 1033749478 · NPPES record last updated Jan 24, 2020

Key facts

NPI
1033749478
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH026432 (GA)
Practice address
3000 Old Alabama Rd
Alpharetta, GA 30022-5860
Phone
(770) 751-7384
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH026432GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH026432 GA Yes

Addresses

Primary practice location

3000 Old Alabama Rd
Alpharetta, GA 30022-5860

Mailing address

1620 Secretariat Gait Way
Suwanee, GA 30024-1501

Other providers in Alpharetta, GA

All providers in Alpharetta, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.