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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
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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