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ATHENS MEDICAL ARTS PHARMACY INC NPI 1851473649


NPI Information

NPI: 1851473649
Provider Name: ATHENS MEDICAL ARTS PHARMACY INC

Doing Business As: HAWTHORNE DRUG COMPANY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2278513

Address:
975 HAWTHORNE AVE
SUITE A
ATHENS, GA
ZIP 30606
Phone: (706) 548-5227
Get Directions

ATHENS MEDICAL ARTS PHARMACY INC is a community/retail pharmacy pharmacy in Athens, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ATHENS MEDICAL ARTS PHARMACY INC NPI is 1851473649. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawthorne Drug Company.

The provider's business location address is:

975 HAWTHORNE AVE
SUITE A
ATHENS, GA
ZIP 30606-194
Phone: (706) 548-5227
Fax: (706) 353-8134

The provider's authorized official is Brandon Ullrich .
The authorized official title is Manager and has the following contact phone number (706) 548-5227.

The CLIA number assigned to this NPI record is 11D2278513 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHRE006424GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12017475OTHERPK
20031699AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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