Doctor Name: | MRS. HELEN IYAIBIBOIMA ABERE |
NPI Number: | 1154592178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH |
License Number: | 017919 |
Business Practice Address: | 101 Fairview Rd Ellenwood, GA - 302942722 |
Business Phone Number: | 7703897088 |
Business Fax Number: | 7705075402 |
Mailing Address: | 101 Fairview Rd, ELLENWOOD |
State: | GA |
Postal Code: | 302942722 |
Phone Number: | 7703897088 |
Fax Number: | 7705075402 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 017919 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |