Provider Demographics
NPI:1841064391
Name:ROJAS, FABIOLA ITZEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FABIOLA
Middle Name:ITZEL
Last Name:ROJAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 UNION POINT RD
Mailing Address - Street 2:
Mailing Address - City:STEPHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30667-1200
Mailing Address - Country:US
Mailing Address - Phone:706-410-4600
Mailing Address - Fax:
Practice Address - Street 1:903 ELBERT ST
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-2633
Practice Address - Country:US
Practice Address - Phone:706-283-7095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH034495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist