IndividualActive
Hayden Black, PHARMD
NPI 1548859515 · Pharmacist · Cornelia, GA
Provider details
- NPI number
- 1548859515
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- RPH030715 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
130 Magnolia Ln
Cornelia, GA 30531-2297
Phone: (706) 776-3784
Fax: (706) 776-3788
Approximate (ZIP-level) locationGet directions
Mailing address
130 Magnolia Ln
Cornelia, GA 30531-2297
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.