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Blaise Koffi Aziagba, PHARMD
Pharmacist in Carrollton, Georgia
NPI 1588009526

Blaise Koffi Aziagba is a Pharmacist based in Carrollton, GA. Blaise Koffi Aziagba practices in Carrollton, GA and has the professional credentials of PHARMD. The NPI Number for Blaise Koffi Aziagba is 1588009526 and holds a License No. 19387 (Georgia).

The current practice location address for Blaise Koffi Aziagba is 794 S Park St, Carrollton, GA and can be reached out via phone at 770-838-1678 and via fax at 770-838-9352.

Location: 794 S Park St, Carrollton, GA, 30117-3826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588009526
Provider Name
Blaise Koffi Aziagba
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
794 S Park St, Carrollton, GA, 30117-3826
Phone Number
770-838-1678
Fax Number
770-838-9352
Provider Enumeration Date
05/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
794 S Park St
City
Carrollton
State
Georgia
Zip
30117-3826
Phone Number
770-838-1678
Fax Number
770-838-9352
person
Provider Business Mailing Address Details
Address
794 S Park St
City
Carrollton
State
Georgia
Zip
30117-3826
Phone Number
770-838-1678
Fax Number
770-838-9352
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
S10581 (Alabama)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
19387 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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