SearchGeorgia183500000X

Shacresa Staley, PHARM.D

NPI 1255613907 · on the registry since 2011

Practice

Address
2990 Five Forks Trickum Rd
Lawrenceville, GA 30044
Phone
(770) 978-6475
Fax
(770) 978-0369
Organisation at this address
Walgreen Co
Rediclinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 4235 Lawrenceville Hwy Nw, Lilburn, GA

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia