Individual
PEDRAM GHAFOURIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1701 4TH AVE, CHARLESTON, WV 25387-2415
(304) 346-0820
Mailing address
395 TYREE CIR, ELKVIEW, WV 25071-7680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010506
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0010506
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
07/07/2018
Last updated
07/07/2018
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