Healthcare Provider Details

I. General information

NPI: 1699017889
Provider Name (Legal Business Name): MINA SAFFARI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOPKINS PLZ
BALTIMORE MD
21201-2900
US

IV. Provider business mailing address

10 HOPKINS PLZ
BALTIMORE MD
21201-2900
US

V. Phone/Fax

Practice location:
  • Phone: 301-272-4425
  • Fax: 443-263-7348
Mailing address:
  • Phone: 301-272-4425
  • Fax: 443-263-7348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number437353
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18985
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: