Individual
HENRY MICHAEL TATE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL DEPARTMENT OF PHARMACY, ATLANTA, GA 30342-1606
(404) 845-5989
Mailing address
2620 ASHBOURNE DR, LAWRENCEVILLE, GA 30043-6806
(770) 513-7506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016621
GA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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