NPI 1619633856 · live from the CMS NPI Registry
Abigail Agyeman
Pharmacist in Covington, GA. National Provider Identifier 1619633856, active.
NPI record
| NPI | 1619633856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 10300 Industrial Blvd Ne, Covington, GA 30014 |
| Practice phone | 770-787-8030 |
| Mailing address | 2455 Norwich Trce, Snellville, GA 30078 |
| Enumerated | November 11, 2021 |
| Last updated | November 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | RPH032306 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.