Individual
FARHAD FRED GHAFFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 W. LITTLE CREEK RD, NORFOLK, VA 23505-1234
(757) 435-2793
Mailing address
7464 MILLBROOK RD, NORFOLK, VA 23505-3350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011986
VA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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