Individual
MAHSA SHABANINIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
(844) 241-6529
Mailing address
14206 HIGH POINT DR, LITTLE ROCK, AR 72211-2924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD22513
AR
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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