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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010127
GA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151280
PK
—
Enumeration date
09/19/2014
Last updated
06/10/2025
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