Soma Hussein Aziz, PHARMD

Individual provider Active NPI Pharmacist · Lithonia, GA

NPI 1396336509 · NPPES record last updated Jan 30, 2021

Key facts

NPI
1396336509
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH032345 (GA)
Practice address
7550 Covington Hwy
Lithonia, GA 30058-7402
Phone
(404) 482-4823
NPI assigned
Jan 30, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH032345GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH032345 GA Yes

Addresses

Primary practice location

7550 Covington Hwy
Lithonia, GA 30058-7402

Mailing address

1019 Creekshire CV
Lawrenceville, GA 30043-6747
Phone (404) 428-0844

Other providers in Lithonia, GA

All providers in Lithonia, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.