Healthcare Provider Details

I. General information

NPI: 1871585232
Provider Name (Legal Business Name): PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 INDUSTRIAL BLVD SUITE B
HAWKINSVILLE GA
31036-2106
US

IV. Provider business mailing address

PO BOX 997 342 INDUSTRIAL BLVD, SUITE B
HAWKINSVILLE GA
31036-0997
US

V. Phone/Fax

Practice location:
  • Phone: 478-783-4556
  • Fax: 478-783-1404
Mailing address:
  • Phone: 478-783-4556
  • Fax: 478-783-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHRE007644
License Number StateGA

VIII. Authorized Official

Name: MR. J ANDREW HILL JR.
Title or Position: PRESIDENT
Credential: PHARMACIST
Phone: 478-783-4556