Individual
HUZEFA EBRAHIMJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 N HAIRSTON RD, STONE MOUNTAIN, GA 30083-5800
(404) 292-0484
(404) 299-3629
Mailing address
593 AXTON CT, LAWRENCEVILLE, GA 30044-5217
(864) 597-9766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9730
SC
183500000X
Pharmacist
Primary
RPH22998
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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