Raphael Taiwo Ogunsusi, PHARMACIST Valid NPI
Individual provider · Pharmacist · Conyers, GA
- NPI
- 1881943793
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 13344 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-09-06
- Last updated
- 2012-09-06
Practice location
2630 Wellington Way Se
Conyers, GA 30013-6413
(678) 478-9511