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NPI Code Detail

MEDICARE: STEPHEN SAHARIAN R.PH.

MEDICARE: STEPHEN SAHARIAN R.PH.
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
1183500000XPharmacist26019337AIN

General Provider Information

NPI Number : 1598177875
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SAHARIAN R.PH.
Provider Business Mailing Address
First Line : 9007 SPRING FOREST DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-6448
Country : US
Telephone Number : 260-413-1288
Fax Number :
Provider Business Practice Location Address
First Line : 5909 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1159
Country : US
Telephone Number : 260-434-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2014
Last Update Date : 05/21/2014

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Directions to “ STEPHEN SAHARIAN R.PH.” Practice Location

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