Individual
YASER N/A GHAVAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3240 US HIGHWAY 50 E, CARSON CITY, NV 89701-2801
(775) 883-7011
Mailing address
11627 N DAVIS RD, LODI, CA 95242-9543
(209) 954-6772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03445918
OH
183500000X
Pharmacist
Primary
24784
NV
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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