Provider Demographics
NPI:1275821530
Name:AFARI, GEORGE (PHARMD, BCNP)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:AFARI
Suffix:
Gender:M
Credentials:PHARMD, BCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 BOYLES STREET
Mailing Address - Street 2:BLDG. 325, ROOM 103
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-846-7391
Mailing Address - Fax:301-846-5935
Practice Address - Street 1:1050 BOYLES STREET
Practice Address - Street 2:BLDG. 325, ROOM 103
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-846-7391
Practice Address - Fax:301-846-5935
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD167421835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear