Individual
KAZEM HAGHIR EBRAHIMABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6520 ERNEST BARRETT PKWY, MARIETTA, GA 30064-4571
(770) 222-6695
Mailing address
240 HENLEY PL, DULUTH, GA 30097-1972
(678) 898-6431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027023
GA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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