Shack, Laura Bradley
Shack, Laura Bradley is an individual health care provider with primary practice located at 535 Brightmore Downs , Johns Creek GA 30005-6705. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Shack, Laura Bradley can be contacted via phone (770) 559-8130.Contact Information
Primary practice address
535 Brightmore Downs
Johns Creek GA 30005-6705
Phone: (770) 559-8130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 025529 | Georgia |
Profile Details
| NPI number | 1437562303 |
|---|---|
| LBN Legal business name | Shack, Laura Bradley |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2014 |
| Last updated | Jun 8th, 2014 - about 11 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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