NPI 1194329839 · live from the CMS NPI Registry
Soyoung Ahn
Pharmacist in Lagrange, GA. National Provider Identifier 1194329839, active.
NPI record
| NPI | 1194329839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1802 Roanoke Rd, Lagrange, GA 30240 |
| Practice phone | 706-882-5564 |
| Mailing address | 191 John Lovelace Rd, Lagrange, GA 30241 |
| Enumerated | November 23, 2020 |
| Last updated | November 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 023045 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.