Individual
NYLAH SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 COLLIER RD NW STE 100, ATLANTA, GA 30309-1780
(404) 350-9772
Mailing address
1425 JOSEPH E BOONE BLVD NW APT D103, ATLANTA, GA 30314-2037
(773) 587-7716
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC060574
GA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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