Provider Demographics
NPI:1184915852
Name:STRICKLAND, SAMUEL ALLEN (PHARMACIST (RPH))
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:ALLEN
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:PHARMACIST (RPH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 UPPER FOX TRL # SELECT1
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-5702
Mailing Address - Country:US
Mailing Address - Phone:404-277-1362
Mailing Address - Fax:
Practice Address - Street 1:131 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3412
Practice Address - Country:US
Practice Address - Phone:706-896-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH012038183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist