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NPI Code Detail

MEDICARE: FARIBORZ GHAFOORI PHARMD

MEDICARE: FARIBORZ GHAFOORI PHARMD
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
1183500000XPharmacistS021451AZ
2183500000XPharmacistRPH027529GA

General Provider Information

NPI Number : 1801268511
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARIBORZ GHAFOORI PHARMD
Provider Business Mailing Address
First Line : 5120 E HAMPTON AVE APT 1181
Second Line :
City : MESA
State : AZ
Zip : 85206-6603
Country : US
Telephone Number : 559-916-4880
Fax Number :
Provider Business Practice Location Address
First Line : 1212 S GREENFIELD RD
Second Line :
City : MESA
State : AZ
Zip : 85206-2792
Country : US
Telephone Number : 559-916-4880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/21/2015

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