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NPI Code Detail

MEDICARE: NAZEK FESHHOU SAHAWNEH PHARMACIST

MEDICARE: NAZEK FESHHOU SAHAWNEH PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist019650GA

General Provider Information

NPI Number : 1770606642
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZEK FESHHOU SAHAWNEH PHARMACIST
Provider Business Mailing Address
First Line : 1792 WHITEHALL CT NE
Second Line :
City : MARIETTA
State : GA
Zip : 30066-5795
Country : US
Telephone Number : 770-575-1585
Fax Number :
Provider Business Practice Location Address
First Line : 2580 SANDY PLAINS RD
Second Line :
City : MARIETTA
State : GA
Zip : 30066-5798
Country : US
Telephone Number : 770-565-5681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2007
Last Update Date : 12/22/2022

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