Individual
MR. ETHAN YAZDANYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1101 S WEST END BLVD, QUAKERTOWN, PA 18951-5207
(610) 730-0518
Mailing address
225 N MAIN ST, COOPERSBURG, PA 18036-1529
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30277116
PA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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