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NPI Code Detail

MEDICARE: SAM NII AHIA SOLOMON PHARM D

MEDICARE: SAM NII AHIA SOLOMON PHARM D
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
1183500000XPharmacistRPH020134GA

General Provider Information

NPI Number : 1871105114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM NII AHIA SOLOMON PHARM D
Provider Business Mailing Address
First Line : 634 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-4000
Fax Number : 706-647-4020
Provider Business Practice Location Address
First Line : 634 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-4000
Fax Number : 706-647-4020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2020
Last Update Date : 08/18/2020

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Directions to “ SAM NII AHIA SOLOMON PHARM D” Practice Location

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