Provider Demographics
NPI:1598935579
Name:GARNER, LORI SMITH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:SMITH
Last Name:GARNER
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 1:5249 SANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2887
Mailing Address - Country:US
Mailing Address - Phone:404-657-7241
Mailing Address - Fax:404-657-5461
Practice Address - Street 1:2 PEACHTREE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3141
Practice Address - Country:US
Practice Address - Phone:404-657-7241
Practice Address - Fax:404-657-5461
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015414183500000X
FLPS23800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist