Healthcare Provider Details

I. General information

NPI: 1790698603
Provider Name (Legal Business Name): CHRISTY HARDIN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 COUNTRY CLUB DR APT C
AMERICUS GA
31709-4514
US

IV. Provider business mailing address

120 COUNTRY CLUB DR APT C
AMERICUS GA
31709-4514
US

V. Phone/Fax

Practice location:
  • Phone: 229-931-1265
  • Fax:
Mailing address:
  • Phone: 229-931-1265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19881
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: