Healthcare Provider Details

I. General information

NPI: 1962831453
Provider Name (Legal Business Name): AMIR PARSAD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6199 HIGHWAY 92
ACWORTH GA
30102-2344
US

IV. Provider business mailing address

2425 ALPINE AVE NW
WALKER MI
49544-1956
US

V. Phone/Fax

Practice location:
  • Phone: 770-924-9105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302032123
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number021591
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: