Individual provider · Type 1 NPI
Ebosetale Ikheloa
Pharmacist · Decatur, GA
Practice location
2550 Blackmon Dr Apt 3211
Decatur, GA 30033-6254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RPH033510 (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 1457170649
Ebosetale Ikheloa's National Provider Identifier is 1457170649, issued on Oct 7, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Decatur, GA. The record was last updated on Oct 7, 2024.