Individual
DR. HAFIZ TAYEBALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
105 W TROUTMAN PKWY, FORT COLLINS, CO 80525-3038
(970) 223-0840
Mailing address
2001 ROSEN DR APT 3-304, FORT COLLINS, CO 80528-2006
(919) 757-5940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023681
CO
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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