Individual
HARITHA JALAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 E MADISON DR, ATLANTA, GA 30360-2019
(978) 328-4649
Mailing address
2151 PEACHFORD RD, ATLANTA, GA 30338-6534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023492
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH023492
GEORIA BOARD OF PHARMACY
GA
Enumeration date
12/31/2020
Last updated
12/31/2020
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