Olutola Adu, PHARMD
Individual provider Active NPI Pharmacist · Buford, GA
NPI 1063005692 · NPPES record last updated Feb 15, 2021
Key facts
- NPI
- 1063005692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 028298 (GA)
- Practice address
- 1950 Buford Hwy
Buford, GA 30518-3673 - Phone
- (770) 945-7286
- NPI assigned
- Feb 15, 2021
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028298 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028298 | GA | Yes |
Addresses
Primary practice location
1950 Buford Hwy
Buford, GA 30518-3673
Mailing address
1950 Buford Hwy
Buford, GA 30518-3673
Phone (770) 945-7286
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.