Individual
ALI REZA IRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
21304 ZION RD, BROOKEVILLE, MD 20833-1002
(301) 807-9631
Mailing address
21304 ZION RD, BROOKEVILLE, MD 20833-1002
(301) 807-9631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13366
MD
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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