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Individual

DR. MARYAM IRANIKHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2086
Mailing address
SAMFORD UNIVERSITY MCWHORTER SCHOOL OF PHARMACY, 800 LAKESHORE DRIVE, BIRMINGHAM, AL 35229-0001
(205) 726-2086

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
14457
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14457
PHARMACISIT LICENCE NUMBER
AL
01
217361
NABP NUMBER
Enumeration date
11/15/2017
Last updated
11/15/2017
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