Provider Demographics
NPI:1578812673
Name:DARBY, RASHAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:
Last Name:DARBY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 BURCH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-4063
Mailing Address - Country:US
Mailing Address - Phone:803-522-4350
Mailing Address - Fax:706-721-9505
Practice Address - Street 1:1120 15TH ST # BT2601
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-446-1234
Practice Address - Fax:706-721-9505
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist