Most Relevant Information
Provider Data
| NPI Number: | 1003493503 |
| Provider Name: | SUHA AHMED ELHAJ ELBASHIR |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH032627 |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 03/29/2021 |
Provider Practice Location
2080 E ROXBORO RD NE
ATLANTA
GA
303242740
Practice Location Phone/Fax
| Phone: | 2564791434 |
| Fax: |
Provider Mailing Location
2080 E ROXBORO RD NE
ATLANTA
GA
303242740
Provider Mailing Phone/Fax
| Phone: | 2564791434 |
| Fax: |