Most Relevant Information
Provider Data
| NPI Number: | 1003283136 |
| Provider Name: | FARID RAPHAEL POURMORADY RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 44247 |
Most Important Dates
| Enumeration Date: | 08/24/2015 |
| Last Updated: | 08/24/2015 |
Provider Practice Location
1129 S ROBERTSON BLVD
LOS ANGELES
CA
900351403
Practice Location Phone/Fax
| Phone: | 3102470247 |
| Fax: | 3102470248 |
Provider Mailing Location
1129 S ROBERTSON BLVD
LOS ANGELES
CA
900351403
Provider Mailing Phone/Fax
| Phone: | 3102470247 |
| Fax: | 3102470248 |