Slacks, Corey Richard
Slacks, Corey Richard is an sole proprietor health care provider with primary practice located at 5401 Fairington Rd , Lithonia GA 30038-5113. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Slacks, Corey Richard can be contacted via phone (770) 598-4998.Contact Information
Primary practice address
5401 Fairington Rd
Lithonia GA 30038-5113
Phone: (770) 598-4998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH031069 | Georgia |
Profile Details
| NPI number | 1588264162 |
|---|---|
| LBN Legal business name | Slacks, Corey Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2020 |
| Last updated | Oct 31st, 2020 - about 5 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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