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NPI Code Detail

MEDICARE: SOOLMAZ AHMADI PHARMD

MEDICARE:   SOOLMAZ  AHMADI  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
1183500000XPharmacist13170SC

General Provider Information

NPI Number : 1891044277
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOOLMAZ AHMADI PHARMD
Provider Business Mailing Address
First Line : 1504 MONTCLAIR ST.
Second Line :
City : CHARLESTON
State : SC
Zip : 29407
Country : US
Telephone Number : 917-415-6496
Fax Number :
Provider Business Practice Location Address
First Line : 1504 MONTCLAIR ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-3512
Country : US
Telephone Number : 917-415-6496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2012
Last Update Date : 08/31/2012

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Directions to “ SOOLMAZ AHMADI PHARMD” Practice Location

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