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Organization
HANSFORD PHARMACY SERVICES LLC
Active
Organization
HANSFORD PHARMACY SERVICES LLC
Active
Other names
ATHENS INFUSION AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN HANSFORD RPH (OWNER PHARMACY MNGR)
(706) 369-3050
Entity
Organization
Contact information
Practice address
1135 CEDAR SHOALS DR, BLDG 6 SUITE A, ATHENS, GA 30605-5299
(706) 369-0583
(706) 369-9592
Mailing address
1135 CEDAR SHOALS DR, BUILDING 6 SUITE A, ATHENS, GA 30605-5299
(706) 369-9592
(706) 369-9592
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHRE007982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734126A
—
GA
01
—
2020501
PK
—
Enumeration date
11/15/2006
Last updated
08/22/2017
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