Organization
SUMMERVILLE PHARMACY
Active
Other names
PHARMASERV INC.
Organization subpart
No
Provider details
NPI number
Authorized official
HANI WILLIAM MUSSAD BS (OWNER/ PHARMACIST)
(706) 481-7140
Entity
Organization
Contact information
Practice address
3087 WESTWOOD RD, HANI MUSSAD, AUGUSTA, GA 30909
(706) 736-2093
(706) 733-7301
Mailing address
2258 WRIGHTSBORO RD, SUITE 150, AUGUSTA, GA 30904
(706) 481-7140
(706) 733-7301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH.004193
GA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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