MEDICARE: REKHA HARIE

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	RPH022771	GA

General Provider Information

NPI Number	:	1174011449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REKHA HARIE

Provider Business Mailing Address
First Line	:	1205 JOHNSON FERRY RD STE 136-421
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-5418
Country	:	US
Telephone Number	:	404-444-2148
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 HERITAGE WALK
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-3875
Country	:	US
Telephone Number	:	470-312-2933
Fax Number	:

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

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	08/26/2022

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Directions to “ REKHA HARIE ” Practice Location

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