NPI 1619797040 · live from the CMS NPI Registry
Glory Ajewole
Pharmacist in Atlanta, GA. National Provider Identifier 1619797040, active.
NPI record
| NPI | 1619797040 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 375 18th St Nw, Atlanta, GA 30363 |
| Practice phone | 770-227-5996 |
| Mailing address | 1689 Haypatch Ln, Loganville, GA 30052 |
| Enumerated | October 11, 2024 |
| Last updated | October 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | RPH035141 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.