Individual provider · Type 1 NPI

Austin Lively, RPH

Pharmacist · Fairburn, GA

NPI number 1851849657 Active

Practice location

5370 Campbellton Fairburn Rd
Fairburn, GA 30213-2296

Call (770) 774-3605 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X029308 (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 1851849657

Austin Lively, RPH's National Provider Identifier is 1851849657, issued on Sep 21, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairburn, GA. The record was last updated on Sep 21, 2016.