Provider Demographics
NPI:1407479827
Name:SALMASI, ARVIN (PHARMD STUDENT)
Entity Type:Individual
Prefix:
First Name:ARVIN
Middle Name:
Last Name:SALMASI
Suffix:
Gender:M
Credentials:PHARMD STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3481 SHERIDAN CHASE SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4337
Mailing Address - Country:US
Mailing Address - Phone:404-556-5034
Mailing Address - Fax:
Practice Address - Street 1:700 HIGHWAY 29 N
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-1544
Practice Address - Country:US
Practice Address - Phone:706-715-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHI-019843183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician