Nyota

NPI #1588672620 in Atlanta, Georgia

Provider Information

NPI Number: 1588672620
Entity Type: Organization
Organization Name: Nyota
Primary Specialty: Pharmacist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 58 FLAT SHOALS AVE SE
City: Atlanta
State: Georgia
ZIP Code: 30316-1337
Phone: (404) 399-5124

Authorized Official

Name: DR. THADDEUS ALTONIO BLUE, PHARM.D
Title: DIRECTOR
Phone: (678) 933-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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