MEDICARE: DR. RICHARD J HARLOW PHARM.D.

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	22586	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22586	OTHER	GA	PHARMACIST LICENSE NUMBER

General Provider Information

NPI Number	:	1952439358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J HARLOW PHARM.D.

Provider Business Mailing Address
First Line	:	1590 STEELE DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2275
Country	:	US
Telephone Number	:	404-872-0511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MONROE DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5033
Country	:	US
Telephone Number	:	404-872-0785
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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