DR. Renae Ibanga, PHARM. D.

NPI #1154926111 in Lilburn, Georgia

Provider Information

NPI Number: 1154926111
Entity Type: Individual
Name: DR. Renae Ibanga, PHARM. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM. D.
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 4100 FIVE FORKS TRICKUM RD SW
City: Lilburn
State: Georgia
ZIP Code: 30047-3124
Phone: (770) 921-8071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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