Austin Lively, RPH

NPI 1851849657 · on the registry since 2016

Practice

Address: 5370 Campbellton Fairburn Rd
Fairburn, GA 30213
Phone: (770) 774-3605
Organisation at this address: Publix Super Markets Inc
Jackson Family Eye Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-21

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