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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANUEAL WODAJO

Active Sole Proprietor

AMANUEAL WODAJO is a Pharmacist Clinician (PhC) healthcare provider located in DALLAS, Georgia. NPI 1952932600 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · DALLAS, GA

Registration Details

NPI Number
1952932600
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2020 (6.5086778747396 yrs)
Last Updated
Jan 31, 2020
License
PHRE008944 (GA)
Sole Proprietor
Yes

Practice Information

Address
457 NATHAN DEAN BLVD
DALLAS, GA, 301324911
Browse GA providers · Browse ZIP 30132
Phone
7704438776
Fax
7704430653
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in DALLAS, GA

Name Credential NPI
DR. KIMBERLY HUNTON PHARMD, MBA, MSHA 1710492772
ELIZABETH ANNE MCGUIRE 1376173641
LAWRENCE FRAZIER 1063043313
JEFFREY RAKESTRAW 1235760430
ARIEL KRISTIN DYCHES PHARMD 1578178687
KATHERINE ANN ANDERSON 1982203113
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.