David R. Shore, RPH. Valid NPI
Individual provider · Pharmacist · Johns Creek, GA
- NPI
- 1407136047
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH014847 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-08-26
- Last updated
- 2022-12-21
Practice location
4395 Kimball Bridge Rd
Johns Creek, GA 30022-4409
(678) 566-0422