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Contact Information

BLAISE K AZIAGBA, PHARM.D.
794 S PARK ST
CARROLLTON, GA30117-3826
 Phone: 770-838-1678
 Fax: 770-838-9352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BLAISE K AZIAGBA · (Male)

NPI Number 1588009526
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/03/2013
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 19387
  • AL License # S10581
  • GA License # RPH030416
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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