Individual
MAHSA ETEMADIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3035 HAMILTON CHURCH RD, ANTIOCH, TN 37013-1429
(615) 360-3118
Mailing address
9723 TURNBRIDGE CT, BRENTWOOD, TN 37027-3716
(615) 424-9071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46420
TN
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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