Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebosetale Ikheloa

Individual provider Pharmacist · NPI 1457170649

Ebosetale Ikheloa is a Pharmacist in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
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Practice location Address checks out

2550 Blackmon Dr Apt 3211
Decatur, GA 30033-6254
Phone: (706) 351-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH033510 (GA)

Record details

NPI number1457170649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 6, 2024
Mailing address2550 Blackmon Dr Apt 3211, Decatur, GA 30033-6254

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