Individual provider · Type 1 NPI

Ha 407 541 4914 Tat

Ambulatory Care Pharmacist · Orlando, FL

NPI number 1104790658 Active

Practice location

8337 Southpark Cir
Orlando, FL 32819-9049

Mailing address

1460 Mulligan Dr
Vero Beach, FL 32966-1231

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Pharmacist Primary 1835P2201XPS40033 (FL)

Ambulatory Care Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

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About NPI 1104790658

Ha 407 541 4914 Tat's National Provider Identifier is 1104790658, issued on Sep 30, 2025. The primary taxonomy on file is Ambulatory Care Pharmacist (1835P2201X), and the practice location is in Orlando, FL. The record was last updated on Oct 24, 2025.