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Organization
ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
Active
Organization
ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
Active
Other names
Athens Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAN KAZEMI (PHARMACY DIRECTOR)
(706) 543-1145
Entity
Organization
Contact information
Practice address
402 MCKINLEY DR, ATHENS, GA 30601-3261
(706) 850-8057
(706) 549-0056
Mailing address
402 MCKINLEY DR, ATHENS, GA 30601-3261
(706) 543-1145
(706) 549-0056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010127
GA
3336C0003X
Community/Retail Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
09/19/2014
Last updated
06/10/2025
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