Individual
MR. EDMOND F. HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
790 CHURCH ST NE, SUITE 170, MARIETTA, GA 30060-7282
(770) 424-3131
(770) 424-2935
Mailing address
435 VALLEY GREEN DR NE, ATLANTA, GA 30342-3429
(404) 257-1446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH010154
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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