CHIBUIKEM HENRY EZEASOR

FAYETTEVILLE, GA
NPI1467908640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH029272)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- CHIBUIKEM HENRY EZEASOR PharmD
215 BROOKESTONE PT
FAYETTEVILLE, GA 30215-8241
Phone number: 678-860-1129
Mailing Address
-- CHIBUIKEM HENRY EZEASOR PharmD
215 BROOKESTONE PT
FAYETTEVILLE, GA 30215-8241
Phone number: 678-860-1129
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