Individual provider · Type 1 NPI

Corey Richard Slacks

Pharmacist · Lithonia, GA

NPI number 1588264162 Active

Practice location

5401 Fairington Rd
Lithonia, GA 30038-5113

Mailing address

2404 Cavalier Xing
Lithonia, GA 30038-5325

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH031069 (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 1588264162

Corey Richard Slacks's National Provider Identifier is 1588264162, issued on Oct 31, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lithonia, GA. The record was last updated on Oct 31, 2020.