Healthcare Provider Details

I. General information

NPI: 1770403933
Provider Name (Legal Business Name): MACHALA ABNEY OLSON PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 ROYAL DR
ALPHARETTA GA
30022-2475
US

IV. Provider business mailing address

4321 HARTLEY BRIDGE RD
MACON GA
31216-5641
US

V. Phone/Fax

Practice location:
  • Phone: 478-788-1015
  • Fax:
Mailing address:
  • Phone: 478-788-1015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number036313
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: