Search › Georgia › 1835P1200X
Clement Okpala, PHARMD
NPI 1326379280 · on the registry since 2010 · sole proprietor
Practice
- Address
- 180 W Broad St Ste A
Fairburn, GA 30213 - Phone
- (678) 489-2069
- Fax
- (678) 489-8627
- Organisation at this address
- Providence Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 216 Nw Broad St, Fairburn, GA
Registry record
- Primary taxonomy
- 1835P1200X
1835P1200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia