Abtahi, Ardalan
Abtahi, Ardalan is an individual health care provider with primary practice located at 1600 N Port Washington Rd , Grafton WI 53024. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Abtahi, Ardalan can be contacted via phone (262) 204-2810.Contact Information
Primary practice address
1600 N Port Washington Rd
Grafton WI 53024
Phone: (262) 204-2810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 18227-40 | Wisconsin |
Profile Details
| NPI number | 1417455593 |
|---|---|
| LBN Legal business name | Abtahi, Ardalan |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2018 |
| Last updated | Jan 24th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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