NPI 1962785311 · live from the CMS NPI Registry
Rahmon Temitope Adeola, PharmD
Pharmacist in Villa Rica, GA. National Provider Identifier 1962785311, active.
NPI record
| NPI | 1962785311 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 9591 Conners Rd, Villa Rica, GA 30180 |
| Practice phone | 770-947-3000 |
| Mailing address | 4220 San Marco Way, Douglasville, GA 30135 |
| Enumerated | September 22, 2011 |
| Last updated | September 22, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 022908 (GA) |
| Pharmacist primary | 183500000X | 048753 (NY) |
| Pharmacist | 183500000X | 28ri02906900 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.