Lilian Agu, PHARMD
Individual provider Active NPI Pharmacist · Columbus, GA
NPI 1306364013 · NPPES record last updated Sep 1, 2017
Key facts
- NPI
- 1306364013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH030105 (GA)
- Practice address
- 707 Center St
Columbus, GA 31901-1575 - Phone
- (706) 571-1000
- NPI assigned
- Sep 1, 2017
- 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 |
|---|---|---|---|
| RPH030105 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030105 | GA | Yes |
Addresses
Primary practice location
707 Center St
Columbus, GA 31901-1575
Mailing address
707 Center St
Columbus, GA 31904
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2017. 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.