Individual
FAYYAZ MOHEBATIAMIRABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4617 E BELL RD, PHOENIX, AZ 85032-2305
(602) 480-5511
Mailing address
4617 E BELL RD, PHOENIX, AZ 85032-2305
(602) 480-5511
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T060612
AZ
Other
Enumeration date
03/27/2021
Last updated
04/10/2021
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