Sport, Andrea
Sport, Andrea is an sole proprietor health care provider with primary practice located at 2050 W Spring St , Monroe GA 30655-3164. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sport, Andrea can be contacted via phone (770) 267-4175.Contact Information
Primary practice address
2050 W Spring St
Monroe GA 30655-3164
Phone: (770) 267-4175
Fax: (770) 267-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH023647 | Georgia |
Profile Details
| NPI number | 1235730706 |
|---|---|
| LBN Legal business name | Sport, Andrea |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2020 |
| Last updated | Nov 2nd, 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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