AMANUEAL WODAJO NPI 1952932600

NPI Information

NPI: 1952932600
Provider Name: AMANUEAL WODAJO
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
457 NATHAN DEAN BLVD
DALLAS, GA
ZIP 30132
Phone: (770) 443-8776
Get Directions

Amanueal Wodajo is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Dallas, GA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Amanueal Wodajo NPI is 1952932600. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

457 NATHAN DEAN BLVD
DALLAS, GA
ZIP 30132-911
Phone: (770) 443-8776
Fax: (770) 443-0653

The enumeration date for this NPI number is 1/31/2020 and was last updated on 1/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PHRE008944	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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