Most Relevant Information
Provider Data
| NPI Number: | 1003464538 |
| Provider Name: | NICHOLE ABERNATHY HASAN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH024584 |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
WALMART PHARMACY
3827 MUNDY MILL RD
OAKWOOD
GA
30566
Practice Location Phone/Fax
| Phone: | 7705353702 |
| Fax: |
Provider Mailing Location
3480 TAMERTON TRCE
BUFORD
GA
305194249
Provider Mailing Phone/Fax
| Phone: | 4042106326 |
| Fax: |