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Individual

BEHRANG KIAN FOROUGHIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
234 HIGHLAND TRACE DR, BATON ROUGE, LA 70810-5058
(225) 810-1295
Mailing address
105 W HIGHWAY 30, GONZALES, LA 70737-4802
(225) 644-0434

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024250
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760123129
LA
Enumeration date
04/07/2022
Last updated
01/19/2023
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