LAURA BRADLEY SHACK

JOHNS CREEK, GA
NPI1437562303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  025529)
Enumeration Date2014-06-08
Last Update Date2014-06-08
Business Address
Mrs. LAURA BRADLEY SHACK rph
535 BRIGHTMORE DOWNS
JOHNS CREEK, GA 30005-6705
Phone number: 770-559-8130
Mailing Address
Mrs. LAURA BRADLEY SHACK rph
535 BRIGHTMORE DOWNS
JOHNS CREEK, GA 30005-6705
Phone number: