Provider Demographics
NPI:1457535874
Name:QUARCOO, OFORI JULIUS
Entity Type:Individual
Prefix:
First Name:OFORI
Middle Name:JULIUS
Last Name:QUARCOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 TOWNE LAKE PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5549
Mailing Address - Country:US
Mailing Address - Phone:770-635-7697
Mailing Address - Fax:
Practice Address - Street 1:2045 TOWNE LAKE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5549
Practice Address - Country:US
Practice Address - Phone:770-635-7697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0207271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy