IndividualActive
Amanueal Wodajo
NPI 1952932600 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dallas, GA
Provider details
- NPI number
- 1952932600
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PHRE008944 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
457 Nathan Dean Blvd
Dallas, GA 30132-4911
Phone: (770) 443-8776
Fax: (770) 443-0653
Approximate (ZIP-level) locationGet directions
Mailing address
457 Nathan Dean Blvd
Dallas, GA 30132-4911
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.