Individual
ABDIHAKIM HASSAN HERSI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY, ATLANTA, GA 30342-1606
(404) 851-8902
Mailing address
3195 LANDINGVIEW CT, LILBURN, GA 30047-1403
(770) 736-5006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202010161
VA
183500000X
Pharmacist
28RI01867700
NJ
183500000X
Pharmacist
Primary
RPH021976
GA
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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