Provider / Organization | NPI | Date Certified |
---|---|---|
SIRAJE HUSSIEN YUSUF | 1154059491 | 2022-08-14 |
Siraje Hussien Yusuf is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154059491. Registration indicates Siraje Hussien Yusuf is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Siraje Hussien Yusuf |
Practice Office Address | 2 N ZACK HINTON PKWY MCDONOUGH, GA US |
Practice Office Telephone | 7709572984 |
Mailing Address | 2877 NATHANIEL WAY GRAYSON, GA 300174201 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RPH031550
GA |