Individual
MARYAM FARAHMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
534 21ST AVE, PATERSON, NJ 07513-1337
(973) 742-6655
Mailing address
534 21ST AVE, PATERSON, NJ 07513-1337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI0342800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03242800
PHARMACY LICENSE
NJ
Enumeration date
07/15/2020
Last updated
07/15/2020
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