Individual
FARHAN ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 HIGHWAY 74 N, TYRONE, GA 30290-1663
(770) 774-2787
Mailing address
101 ASHLEY PARK DR APT C103, NEWNAN, GA 30263-3227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035997
GA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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