Provider Demographics
NPI:1982187894
Name:PADGETT, SONYA FLAKES (PHARM D)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:FLAKES
Last Name:PADGETT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-0265
Mailing Address - Country:US
Mailing Address - Phone:706-592-4646
Mailing Address - Fax:706-592-4618
Practice Address - Street 1:4819 WINDSOR SPRING RD
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-4848
Practice Address - Country:US
Practice Address - Phone:706-592-4646
Practice Address - Fax:706-592-4618
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0106513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy