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SHAHED BANIAHMAD PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1609471952

Individual Registrant:
 SHAHED  BANIAHMAD PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1005 OHIO AVE S  LIVE OAK, FL 32064-4129 US
Tel: 386-362-5183  Fax: --

Contact information for business:
1951 N MERIDIAN RD APT 39  TALLAHASSEE, FL 32303-5251 US
Tel: --  Fax: --

Registration Information:
NPI: 1609471952
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS60005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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