Ajely Samuel

Pharmacist · Lawrenceville, GA

Individual Active NPI

NPI number 1902407828

Practice location

630 Collins Hill Rd
Lawrenceville, GA 30046-4453
Phone
(770) 995-5212

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NPI record

NPI
1902407828
Entity type
Individual (Type 1)
Enumeration date
November 6, 2020
Last updated
November 6, 2020
Certified
November 6, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 023800 GA

Mailing address

3471 Jim Moore Rd
Dacula, GA 30019-1151
Phone
(919) 264-3365

About Ajely Samuel

Ajely Samuel is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 630 Collins Hill Rd, Lawrenceville, GA 30046-4453. The NPI number 1902407828 was assigned on November 6, 2020 and the record was last updated on November 6, 2020.

Ajely Samuel lists a license in the registry: #023800 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ajely Samuel?

The NPI number is 1902407828.

What is the phone number of Ajely Samuel?

The phone number listed for the practice location is (770) 995-5212.

Where is Ajely Samuel located?

630 Collins Hill Rd, Lawrenceville, GA 30046-4453.

What is the taxonomy code for Ajely Samuel?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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