Corey Richard Slacks

Pharmacist · Lithonia, GA

Individual Active NPI

NPI number 1588264162

Practice location

5401 Fairington Rd
Lithonia, GA 30038-5113
Phone
(770) 598-4998

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NPI record

NPI
1588264162
Entity type
Individual (Type 1)
Enumeration date
October 31, 2020
Last updated
October 31, 2020
Certified
October 31, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH031069 GA

Mailing address

2404 Cavalier Xing
Lithonia, GA 30038-5325
Phone
(229) 425-6058

About Corey Slacks

Corey Richard Slacks is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 5401 Fairington Rd, Lithonia, GA 30038-5113. The NPI number 1588264162 was assigned on October 31, 2020 and the record was last updated on October 31, 2020.

Corey Slacks lists a license in the registry: #RPH031069 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corey Richard Slacks?

The NPI number is 1588264162.

What is the phone number of Corey Slacks?

The phone number listed for the practice location is (770) 598-4998.

Where is Corey Slacks located?

5401 Fairington Rd, Lithonia, GA 30038-5113.

What is the taxonomy code for Corey Slacks?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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