MEDICARE: HALLIYE SADEGHI PHARMACIST

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	23697	NV
2	183500000X	Pharmacist	PS66476	FL

General Provider Information

NPI Number	:	1629869771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIYE SADEGHI PHARMACIST

Provider Business Mailing Address
First Line	:	1421 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3813
Country	:	US
Telephone Number	:	818-859-2044
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3813
Country	:	US
Telephone Number	:	818-859-2044
Fax Number	:

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

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	07/01/2025

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Directions to “ HALLIYE SADEGHI PHARMACIST” Practice Location

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