Individual
SOOLMAZ AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1504 MONTCLAIR ST, CHARLESTON, SC 29407-3512
(917) 415-6496
Mailing address
1504 MONTCLAIR ST., CHARLESTON, SC 29407
(917) 415-6496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13170
SC
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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