Provider Demographics
NPI:1720275761
Name:POLLOCK, AMINAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMINAH
Middle Name:
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:AMINAH
Other - Middle Name:
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3140 ABBEY DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-5467
Mailing Address - Country:US
Mailing Address - Phone:404-427-4984
Mailing Address - Fax:
Practice Address - Street 1:615 FERN BROOKS DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7281
Practice Address - Country:US
Practice Address - Phone:404-691-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020302183500000X
NC15049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist