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Individual

HARIVANSH THAKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 TURNER MCCALL BLVD SE, ROME, GA 30161-5278
(706) 232-5270
Mailing address
1000 DULUTH HIGHWAY, APT 2103, LAWRENCEVILLE, GA 30043-8809
(678) 294-7868

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028648
GA

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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