DR. Corey Richard Slacks

NPI #1588264162 in Lithonia, Georgia

Provider Information

NPI Number
1588264162
Entity Type
Individual
Name
DR. Corey Richard Slacks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 31, 2020
Last Updated
Oct 31, 2020

Practice Location

Address
5401 FAIRINGTON RD
State
Georgia
ZIP Code
30038-5113
Phone
(770) 598-4998

Specialties & Taxonomy Codes

Specialty
Pharmacist

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