Provider Demographics
NPI:1871462911
Name:FARHOUD, AMJAD (RPH)
Entity type:Individual
Prefix:MR
First Name:AMJAD
Middle Name:
Last Name:FARHOUD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346 E OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-4038
Mailing Address - Country:US
Mailing Address - Phone:480-406-7284
Mailing Address - Fax:480-542-9688
Practice Address - Street 1:2346 E OAKLAND ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-4038
Practice Address - Country:US
Practice Address - Phone:480-406-7284
Practice Address - Fax:480-542-9688
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0108421835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric