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AMANUEAL WODAJO
NPI 1952932600
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Dallas, GA

Active since January 31, 2020
457 NATHAN DEAN BLVD, DALLAS, GA 30132(770) 443-8776(770) 443-0653 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanueal Wodajo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANUEAL WODAJO (NPI 1952932600) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Dallas, Georgia, licensed in Georgia (PHRE008944) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1952932600
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameAMANUEAL WODAJO
Location Address457 NATHAN DEAN BLVDDallas, GA 30132-4911
Mailing Address457 Nathan Dean BlvdDallas, GA 30132-4911 · (770) 443-8776 · Fax (770) 443-0653
Phone(770) 443-8776
Fax(770) 443-0653
Sole ProprietorYes
Enumeration DateJanuary 31, 2020
✔ NPI 1952932600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · PHRE008944
Definition
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.
457 NATHAN DEAN BLVD, Dallas, GA 30132
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
JEFFREY RAKESTRAW
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
PATRICK TU PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776
KATHERINE ANN ANDERSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
457 NATHAN DEAN BLVD
DALLAS, GA 30132
Paulding County (770) 443-8776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanueal Wodajo's NPI number?

The NPI number for Amanueal Wodajo is 1952932600. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Amanueal Wodajo located?

Amanueal Wodajo practices at 457 Nathan Dean Blvd, Dallas, GA 30132. The listed phone number is (770) 443-8776.

What is Amanueal Wodajo's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Amanueal Wodajo was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.