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NPI Code Detail

MEDICARE: SONYA SANFORD RICHARDS PHARMD

MEDICARE: SONYA SANFORD RICHARDS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH020008GA

General Provider Information

NPI Number : 1396346284
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA SANFORD RICHARDS PHARMD
Provider Business Mailing Address
First Line : 12888 HIGHWAY 52 E
Second Line :
City : ELLIJAY
State : GA
Zip : 30536-7100
Country : US
Telephone Number : 770-479-9003
Fax Number : 770-479-9687
Provider Business Practice Location Address
First Line : 1550 RIVERSTONE PKWY
Second Line :
City : CANTON
State : GA
Zip : 30114-2918
Country : US
Telephone Number : 770-479-9003
Fax Number : 770-479-9687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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Directions to “ SONYA SANFORD RICHARDS PHARMD” Practice Location

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