MEDICARE: MR. MAJID R SADEGHPOUR RPH, M.S.

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
1	183500000X	Pharmacist	S019590	AZ
2	183500000X	Pharmacist	15070	LA
3	183500000X	Pharmacist	17473	MD

General Provider Information

NPI Number	:	1164768909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MAJID R SADEGHPOUR RPH, M.S.

Provider Business Mailing Address
First Line	:	2230 GEORGE C MARSHALL DR APT 1106
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2583
Country	:	US
Telephone Number	:	617-458-9193
Fax Number	:

Provider Business Practice Location Address
First Line	:	10555 N ORACLE RD
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-9353
Country	:	US
Telephone Number	:	520-219-9862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2012
Last Update Date	:	12/26/2012

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