Individual
MOSTAFA AZADBAKHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1741 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4845
(520) 421-1234
Mailing address
5085 N SUNRIVER CIR APT 13, TUCSON, AZ 85704-2305
(951) 241-3483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024145
AZ
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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