Individual
ELHAM FATEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1277 DEMING WAY, MADISON, WI 53717-1971
(608) 827-4440
Mailing address
1277 DEMING WAY, MADISON, WI 53717-1971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17344
WI
183500000X
Pharmacist
54471
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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