Shutter, Kirstie

Shutter, Kirstie is an individual health care provider with primary practice located at 6055 Highway 124 W , Hoschton GA 30548-5535. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Shutter, Kirstie can be contacted via phone (706) 654-5775.

Contact Information

Primary practice address
6055 Highway 124 W Hoschton GA 30548-5535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH028624 Georgia

Profile Details

NPI number 1982105102
LBN Legal business name Shutter, Kirstie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2018
Last updated Apr 26th, 2019 - about 6 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 1982105102 NPPES
Georgia MEDICAID 1982105102

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