Individual
DR. ALIREZA ADHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7235 GARNERS FERRY RD, COLUMBIA, SC 29209
(807) 783-1664
Mailing address
67 REDBAY RD, ELGIN, SC 29045-8684
(803) 708-1382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102844756
PHARMACIST
SC
Enumeration date
05/19/2014
Last updated
05/19/2014
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