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NPI Code Detail

MEDICARE: SHADY ZARNEGIN PHARMD

MEDICARE: SHADY ZARNEGIN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist66180CA

General Provider Information

NPI Number : 1124399969
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHADY ZARNEGIN PHARMD
Provider Business Mailing Address
First Line : 4060 S CENTINELA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4907
Country : US
Telephone Number : 310-391-0255
Fax Number :
Provider Business Practice Location Address
First Line : 4060 S CENTINELA AV
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4907
Country : US
Telephone Number : 310-391-0255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2012
Last Update Date : 01/25/2012

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Directions to “ SHADY ZARNEGIN PHARMD” Practice Location

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