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Individual

MAZDAK SAGHEB TEHRANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
661 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4303
(202) 543-3305
Mailing address
661 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4303
(202) 543-3305

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100001794
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH100001794
PHARMACY LICENSE NUMBER
DC
Enumeration date
12/03/2015
Last updated
12/03/2015
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