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General NPI Number Information
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NPI Number | 1275548919
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Entity Type | Organization
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Legal Business Name | HT PHARMACY & MEDICAL SUPPLIES
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 486 DECATUR STREET S E #8
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 678-701-0383
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Fax | 678-701-0381
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Provider Business Mailing Address
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Address Line | 486 DECATUR STREET S E #8
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 678-701-0383
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Fax | 678-701-0381
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE PRESIDENT
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Name | MR. HAGGAI N TUMBAN
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Credential | PHARMACIST
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Telephone | 678-701-0383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHRE008685
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH019783
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License Number State | GA
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