Individual provider · Type 1 NPI

Shiny John

Pharmacist · Cumming, GA

NPI number 1821372517 Active

Practice location

3290 Keith Bridge Rd
Cumming, GA 30041-3937

Mailing address

4085 Charleston Ln
Roswell, GA 30075-3297

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH 023510 (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 1821372517

Shiny John's National Provider Identifier is 1821372517, issued on Sep 29, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cumming, GA. The record was last updated on Sep 29, 2011.