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Individual

ALI MOSHTAGHFARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6551 FOREST HILL DR, FOREST HILL, TX 76140-1205
(817) 478-2952
(817) 478-0942
Mailing address
1807 W HARRIS RD, ARLINGTON, TX 76001-6749
(817) 467-2182

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33989
TX

Other

Enumeration date
11/12/2009
Last updated
11/12/2009
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