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Contact Information

HABEEB ASIRU BALOGUN, PHARM.D.
2945 PANOLA RD
LITHONIA, GA30038-2313
 Phone: 770-322-8486
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for HABEEB ASIRU BALOGUN · (Male)

NPI # 1013310325
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 09/30/2014
Last updated 09/30/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RPH027854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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