Provider Demographics
NPI:1407434897
Name:JOUDAKI, ARAM (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ARAM
Middle Name:
Last Name:JOUDAKI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BELLEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-0129
Mailing Address - Country:US
Mailing Address - Phone:678-600-6719
Mailing Address - Fax:
Practice Address - Street 1:150 BELLEHAVEN DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-0129
Practice Address - Country:US
Practice Address - Phone:678-600-6719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist