Provider Demographics
NPI:1033719711
Name:PRESSLEY, SALA (RPH)
Entity Type:Individual
Prefix:
First Name:SALA
Middle Name:
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 W BROAD
Mailing Address - Street 2:
Mailing Address - City:NORMAN PARK
Mailing Address - State:GA
Mailing Address - Zip Code:31771-5346
Mailing Address - Country:US
Mailing Address - Phone:229-873-1972
Mailing Address - Fax:229-896-9991
Practice Address - Street 1:351 ALABAMA RD
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31620-3818
Practice Address - Country:US
Practice Address - Phone:229-896-9997
Practice Address - Fax:229-896-9997
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH017883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist