Individual provider · Type 1 NPI

Susan Otang Ayukokata

Pharmacist · Atlanta, GA

NPI number 1588948798 Active

Practice location

500 Brookhaven Ave NE
Atlanta, GA 30319-3291

Call (404) 460-1924 Map

Fax (404) 460-1921

Mailing address

295 Whaleys Lake Dr
Jonesboro, GA 30238-4872

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH023277 (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 1588948798

Susan Otang Ayukokata's National Provider Identifier is 1588948798, issued on Oct 6, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 6, 2011.