Individual
FARIBORZ BOROUMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7975 W PEORIA AVE, PEORIA, AZ 85345-5941
(623) 878-4307
Mailing address
7427 W SANNA ST, PEORIA, AZ 85345-7195
(520) 744-3531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013652
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S013652
ARIZONA STATE BOARD PHARMACY
AZ
Enumeration date
01/23/2014
Last updated
01/23/2014
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