Provider Demographics
NPI:1144777178
Name:KAMARJIAN, ELHAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELHAM
Middle Name:
Last Name:KAMARJIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CHASTAIN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2123
Mailing Address - Country:US
Mailing Address - Phone:770-337-5233
Mailing Address - Fax:
Practice Address - Street 1:1505 NORTHSIDE BLVD
Practice Address - Street 2:SUITE 4300
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7623
Practice Address - Country:US
Practice Address - Phone:770-205-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist