Individual
JAVAD JON FATEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12767 Q ST, OMAHA, NE 68137-3211
(402) 895-7037
Mailing address
12741 Q ST, OMAHA, NE 68137-3211
(402) 895-3102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18355
NE
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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