Individual
DR. ALI-REZA SHAH-MOHAMMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12504 MOSSY BARK TRL, AUSTIN, TX 78750-1124
(512) 796-9085
Mailing address
12504 MOSSY BARK TRL, AUSTIN, TX 78750-1124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48648
TX
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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