Individual
DR. LEIGHCRAFT A SHAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
655 7TH ST BLDG 700A7878, ROBINS AFB, GA 31098
(478) 327-8164
Mailing address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
(478) 327-8164
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
21794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21794
MILITARY
—
Enumeration date
11/04/2011
Last updated
03/07/2022
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