Individual
JAVAD BANIHASHEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8725 ROSWELL RD STE G, ATLANTA, GA 30350-7500
(770) 640-5956
Mailing address
560 BESRA DR, GRAYSON, GA 30017-7948
(404) 641-0010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034679
GA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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