Individual provider · Type 1 NPI

Renae Ibanga, PHARM. D.

Pharmacist · Lilburn, GA

NPI number 1154926111 Active

Practice location

4100 Five Forks Trickum Rd SW
Lilburn, GA 30047-3124

Call (770) 921-8071 Map

Mailing address

4800 Duval Point Way SW
Snellville, GA 30039-7625

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH030449 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1154926111

Renae Ibanga, PHARM. D.'s National Provider Identifier is 1154926111, issued on Nov 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lilburn, GA. The record was last updated on Nov 30, 2020.