Raphael Taiwo Ogunsusi, PHARMACIST

NPI #1881943793 in Conyers, Georgia

Provider Information

NPI Number: 1881943793
Entity Type: Individual
Name: Raphael Taiwo Ogunsusi, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Sep 6, 2012
Last Updated: Sep 6, 2012

Practice Location

Address: 2630 WELLINGTON WAY SE
City: Conyers
State: Georgia
ZIP Code: 30013-6413
Phone: (678) 478-9511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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