Abigail Agyeman
Individual provider Active NPI Pharmacist · Covington, GA
NPI 1619633856 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1619633856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH032306 (GA)
- Practice address
- 10300 Industrial Blvd NE
Covington, GA 30014-1477 - Phone
- (770) 787-8030
- NPI assigned
- Nov 11, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032306 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH032306 | GA | Yes |
Addresses
Primary practice location
10300 Industrial Blvd NE
Covington, GA 30014-1477
Mailing address
2455 Norwich Trce
Snellville, GA 30078-1200
Phone (770) 568-8773
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 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.