Panteha Mortazavi, PHARMD Valid NPI
Individual provider · Pharmacist · Chamblee, GA
- NPI
- 1992306039
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH029520 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
Practice location
1871 Chamblee Tucker Rd
Chamblee, GA 30341-2737
(770) 455-4699