Provider Demographics
NPI:1497570568
Name:PHARMA-SERV INC
Entity type:Organization
Organization Name:PHARMA-SERV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PIC
Authorized Official - Prefix:
Authorized Official - First Name:HEBA
Authorized Official - Middle Name:LABIB
Authorized Official - Last Name:KALDAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-359-3618
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-0368
Mailing Address - Country:US
Mailing Address - Phone:706-359-3618
Mailing Address - Fax:706-359-5734
Practice Address - Street 1:114 MAIN ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-6300
Practice Address - Country:US
Practice Address - Phone:706-359-3618
Practice Address - Fax:706-359-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy