Herist, Keith N

Herist, Keith N is an individual health care provider with primary practice located at 700 Sunset Dr Ste 102, Athens GA 30606-2287. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Herist, Keith N can be contacted via phone (706) 369-0301.

Contact Information

Primary practice address
700 Sunset Dr Ste 102 Athens GA 30606-2287
Phone: (706) 369-0301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH018938 Georgia

Profile Details

NPI number 1083617187
LBN Legal business name Herist, Keith N
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers