Individual
ALIREZA LAVASSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3970 PEACHTREE INDUSTRIAL BLVD STE 200, BERKELEY LAKE, GA 30096-4813
(404) 633-4968
Mailing address
195 SADDLE BRIDGE DR, ALPHARETTA, GA 30022-8128
(404) 587-8099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027645
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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