Ajibade, Wuraola Olubunmi Idowu

Ajibade, Wuraola Olubunmi Idowu is an individual health care provider with primary practice located at 4694 Forsyth Rd Rite Aid, Macon GA 31210-4420. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ajibade, Wuraola Olubunmi Idowu can be contacted via phone (478) 474-3077.

Contact Information

Primary practice address
4694 Forsyth Rd Rite Aid Macon GA 31210-4420
Phone: (478) 474-3077
Fax: (478) 474-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19479 Georgia

Profile Details

NPI number 1295034783
LBN Legal business name Ajibade, Wuraola Olubunmi Idowu
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Mar 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295034783 NPPES
Georgia Other 1659470821 NPI NUMBER

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