MEDICARE: GHUZLAN ALHADDAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH036085	GA

General Provider Information

NPI Number	:	1598606725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GHUZLAN ALHADDAD

Provider Business Mailing Address
First Line	:	2775 ASHBY POND TRL
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-2577
Country	:	US
Telephone Number	:	716-578-2236
Fax Number	:

Provider Business Practice Location Address
First Line	:	2162 HENDERSON MILL RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3762
Country	:	US
Telephone Number	:	770-676-2783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “ GHUZLAN ALHADDAD ” Practice Location

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