Shakes, Leighcraft A

Shakes, Leighcraft A is an individual health care provider with primary practice located at 655 7Th St Bldg 700A7878 , Robins Afb GA 31098. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Shakes, Leighcraft A can be contacted via phone (478) 327-8164.

Contact Information

Primary practice address
655 7Th St Bldg 700A7878 Robins Afb GA 31098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 21794 North Carolina

Profile Details

NPI number 1972880979
LBN Legal business name Shakes, Leighcraft A
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Mar 7th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972880979 NPPES
Other 21794 MILITARY

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