Individual provider · Type 1 NPI

Le Trac

Pharmacist · Lilburn, GA

NPI number 1003439464 Active

Practice location

4358 Burns Rd NW
Lilburn, GA 30047-3596

Mailing address

3824 Safehaven Ct
Lawrenceville, GA 30044-4057

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X029211 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003439464

Le Trac's National Provider Identifier is 1003439464, issued on May 20, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lilburn, GA. The record was last updated on May 20, 2020.