Organization
HT PHARMACY & MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAGGAI N TUMBAN PHARMACIST (PHARMACIST IN CHARGE PRESIDENT)
(678) 701-0383
Entity
Organization
Contact information
Practice address
486 DECATUR STREET S E, #8, ATLANTA, GA 30312
(678) 701-0383
(678) 701-0381
Mailing address
486 DECATUR STREET S E, #8, ATLANTA, GA 30312
(678) 701-0383
(678) 701-0381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019783
GA
333600000X
Pharmacy
PHRE008685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978414A
—
GA
Enumeration date
07/30/2006
Last updated
09/11/2025
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