Provider Demographics
NPI:1043292824
Name:REID, BILLY ALBRA JR (PHARMD,MBA)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:ALBRA
Last Name:REID
Suffix:JR
Gender:M
Credentials:PHARMD,MBA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1405 BRIARCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6827
Mailing Address - Country:US
Mailing Address - Phone:770-592-5112
Mailing Address - Fax:770-732-7223
Practice Address - Street 1:3950 AUSTELL RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1121
Practice Address - Country:US
Practice Address - Phone:770-732-4151
Practice Address - Fax:770-732-7223
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA014314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist