Provider Demographics
NPI:1972644805
Name:HESS, RICK (PHARMD, BC-ADM, CDE)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:
Last Name:HESS
Suffix:
Gender:M
Credentials:PHARMD, BC-ADM, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 AVERY CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-6042
Mailing Address - Country:US
Mailing Address - Phone:770-704-0736
Mailing Address - Fax:770-752-9498
Practice Address - Street 1:5665 GEORGIA HWY 9
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004
Practice Address - Country:US
Practice Address - Phone:770-752-9071
Practice Address - Fax:770-752-9498
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA196031835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy