MEDICARE: KAZEM HAGHIR EBRAHIMABADI RPH

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
1	183500000X	Pharmacist	RPH027023	GA

General Provider Information

NPI Number	:	1790385045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAZEM HAGHIR EBRAHIMABADI RPH

Provider Business Mailing Address
First Line	:	240 HENLEY PL
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-1972
Country	:	US
Telephone Number	:	678-898-6431
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 ERNEST BARRETT PKWY
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-4571
Country	:	US
Telephone Number	:	770-222-6695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

Similar Medicare Providers

1770436685 — HARMAN LLC
Practice Location Address:

6520 ERNEST BARRETT PKWY
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6603
Practice Fax:

1790874386 — WAL-MART STORES EAST LP
Practice Location Address:

6520 ERNEST BARRETT PKWY
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6695
Practice Fax:

1861576951 — WAL-MART STORES EAST, LP
Practice Location Address:

6520 ERNEST W BARRETT PKWY SW
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6603
Practice Fax:

1194132951 — DR. AARON MICHAEL RAHN O.D.
Practice Location Address:

6520 ERNEST BARRETT PKWY
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6603
Practice Fax:

1588073050 — ENFOCUS EYECARE LLC
Practice Location Address:

6520 ERNEST W BARRETT PKWY SW
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6603
Practice Fax:

1477100501 — JENNIFER CHRISTINE JOHNON PHARMD
Practice Location Address:

6520 ERNEST W BARRETT PKWY SW
MARIETTA, GA
30064-4571

Practice Phone: 770-222-6695
Practice Fax:

Directions to “ KAZEM HAGHIR EBRAHIMABADI RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.