MEDICARE: BENITA E AKHTAR

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	020681	GA

General Provider Information

NPI Number	:	1801427091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENITA E AKHTAR

Provider Business Mailing Address
First Line	:	7125 HIGHWAY 85
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2900
Country	:	US
Telephone Number	:	770-996-3118
Fax Number	:	770-994-5602

Provider Business Practice Location Address
First Line	:	7125 HIGHWAY 85
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2900
Country	:	US
Telephone Number	:	770-996-3118
Fax Number	:	770-994-5602

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

Provider Enumeration Date	:	01/28/2020
Last Update Date	:	05/18/2026

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Directions to “ BENITA E AKHTAR ” Practice Location

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