Laura Bradley Shack, RPH Valid NPI
Individual provider · Pharmacist · Johns Creek, GA
- NPI
- 1437562303
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 025529 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-06-08
- Last updated
- 2014-06-08
Practice location
535 Brightmore Downs
Johns Creek, GA 30005-6705
(770) 559-8130