Idrisse B Tetsadjio, PHARMACIST

NPI #1346844164 in Riverdale, Georgia

Provider Information

NPI Number: 1346844164
Entity Type: Individual
Name: Idrisse B Tetsadjio, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 581 FLINT RIVER RD
City: Riverdale
State: Georgia
ZIP Code: 30274-4519
Phone: (770) 603-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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