Folashade Maxwell-Shittu, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Leesburg, GA. Individual provider (NPI-1).
NPI number1164028254
StatusActive
Last updated in NPPESDec 5, 2020
Details
- NPI
- 1164028254
- Entity type
- Individual (NPI-1)
- Name
- Folashade Maxwell-Shittu
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2020
- Certification date
- Dec 5, 2020
- Last updated
- Dec 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH030709 | GA | Yes |
Practice location
1212 Us Highway 19 SLeesburg, GA 31763-4877
Phone 229-431-0569
Mailing address
1212 Us Highway 19 SLeesburg, GA 31763-4877
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