Individual provider · NPI-1

Kristy Nicole Brooks, Pharmacy Technician

Pharmacy Technician · Atlanta, GA

NPI number1093098287
StatusActive
Last updated in NPPESSep 23, 2011

Details

NPI
1093098287
Entity type
Individual (NPI-1)
Name
Kristy Nicole Brooks
Credential
Pharmacy Technician
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2011
Last updated
Sep 23, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician520107010101313GAYes

Practice location

30 Perimeter Park Drive
Atlanta, GA 30341

Phone 479-201-8216 · Fax 866-828-7724

Mailing address

30 Perimeter Place Pk
Atlanta, GA 30341

Phone 479-201-8216 · Fax 866-828-7724

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