Provider Demographics
NPI:1871585232
Name:PHARMACY SERVICES, INC.
Entity type:Organization
Organization Name:PHARMACY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:478-783-4556
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:342 INDUSTRIAL BLVD, SUITE B
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-0997
Mailing Address - Country:US
Mailing Address - Phone:478-783-4556
Mailing Address - Fax:478-783-1404
Practice Address - Street 1:342 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-2106
Practice Address - Country:US
Practice Address - Phone:478-783-4556
Practice Address - Fax:478-783-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE007644333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1139763OtherNABP
GA00890348AMedicaid
GA00890348BMedicaid
GA5014690004Medicare NSC