Individual
FARHAD FOROUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 DELK RD SE, MARIETTA, GA 30067-5318
(770) 933-9782
Mailing address
2975 DELK RD SE, MARIETTA, GA 30067-5318
(770) 933-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I068502
NY
Other
Enumeration date
11/23/2021
Last updated
12/26/2022
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