Individual
ARDALAN ABTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1600 N PORT WASHINGTON RD, GRAFTON, WI 53024
(262) 204-2810
Mailing address
1600 N PORT WASHINGTON RD, GRAFTON, WI 53024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18227-40
WI
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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