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Individual
FARIBORZ BOROUMAND
Active
Individual
FARIBORZ BOROUMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013652
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S013652
ARIZONA STATE BOARD PHARMACY
AZ
Enumeration date
01/23/2014
Last updated
01/23/2014
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