Summerville Pharmacy

NPI #1114012119 in Augusta, Georgia

Provider Information

NPI Number: 1114012119
Entity Type: Organization
Organization Name: Summerville Pharmacy
Primary Specialty: Pharmacy
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3087 WESTWOOD RD
Address 2: HANI MUSSAD
City: Augusta
State: Georgia
ZIP Code: 30909
Phone: (706) 736-2093

Authorized Official

Name: HANI WILLIAM MUSSAD, BS
Title: OWNER/ PHARMACIST
Phone: (706) 481-7140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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