NPI 1760077754 · live from the CMS NPI Registry
5 Star Professional Services, LLC
Pharmacist in Grayson, GA. National Provider Identifier 1760077754, active.
NPI record
| NPI | 1760077754 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 849 Natchez Valley Trce, Grayson, GA 30017 |
| Practice phone | 678-373-9881 |
| Mailing address | 516 Sosebee Farm Rd Unit 1426, Grayson, GA 30017 |
| Enumerated | March 2, 2021 |
| Last updated | March 2, 2021 |
| Authorized official | Karen Gibbs-Burton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.