Provider Demographics
NPI:1518985928
Name:STRICKLAND, PETER JUSTIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JUSTIN
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDARTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30125-2302
Mailing Address - Country:US
Mailing Address - Phone:770-748-2990
Mailing Address - Fax:770-748-0379
Practice Address - Street 1:500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-2302
Practice Address - Country:US
Practice Address - Phone:770-748-3100
Practice Address - Fax:770-748-0379
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist