Rakestraw, Jeffrey
Rakestraw, Jeffrey is an individual health care provider with primary practice located at 457 Nathan Dean Blvd , Dallas GA 30132-4911. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Rakestraw, Jeffrey can be contacted via phone (770) 443-8776.Contact Information
Primary practice address
457 Nathan Dean Blvd
Dallas GA 30132-4911
Phone: (770) 443-8776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 016922 | Georgia |
Profile Details
| NPI number | 1235760430 |
|---|---|
| LBN Legal business name | Rakestraw, Jeffrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2020 |
| Last updated | Jan 28th, 2020 - about 4 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.
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