Healthcare Provider Details

I. General information

NPI: 1376188565
Provider Name (Legal Business Name): SAHAR HOJJAT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 E BIDWELL ST
FOLSOM CA
95630-6414
US

IV. Provider business mailing address

122 HOPFIELD DR
FOLSOM CA
95630-8065
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-5366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80734
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: