Ghanadian, Azam

Ghanadian, Azam is an individual health care provider with primary practice located at 11411 E Kellogg Dr , Wichita KS 67207-1928. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Ghanadian, Azam can be contacted via phone (316) 683-1023.

Contact Information

Primary practice address
11411 E Kellogg Dr Wichita KS 67207-1928
Phone: (316) 683-1023
Fax: (316) 683-1023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1-13097 Kansas
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1-13097 Kansas

Profile Details

NPI number 1992174809
LBN Legal business name Ghanadian, Azam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Sep 21st, 2015 - about 9 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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