Provider Demographics
NPI:1144340605
Name:HARVEY, AQUITA ROBINSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AQUITA
Middle Name:ROBINSON
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 WELLS TER SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7891
Mailing Address - Country:US
Mailing Address - Phone:678-612-1821
Mailing Address - Fax:
Practice Address - Street 1:2619 WELLS TER SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7891
Practice Address - Country:US
Practice Address - Phone:678-612-1821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA209001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy