Provider Demographics
NPI:1275291510
Name:SAHOR, AJI HADDY (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:AJI HADDY
Middle Name:
Last Name:SAHOR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BRAY DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-6032
Mailing Address - Country:US
Mailing Address - Phone:919-633-9664
Mailing Address - Fax:
Practice Address - Street 1:119 BRAY DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-6032
Practice Address - Country:US
Practice Address - Phone:919-633-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist