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Individual
REZA MOHAMMAD SAFARPOUR
Active
Individual
REZA MOHAMMAD SAFARPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2797369-1701
UT
183500000X
Pharmacist
PH00022047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2797369
STATE LICENSE NUMBER
UT
01
—
PH00022047
STATE LICENSE NUMBER
WA
Enumeration date
03/10/2006
Last updated
12/13/2010
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