MEDICARE: DR. SALPI KRISTY PASHKAM PHARM.D.

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	69588	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	69588	OTHER	CA	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1164857611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALPI KRISTY PASHKAM PHARM.D.

Provider Business Mailing Address
First Line	:	14049 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3511
Country	:	US
Telephone Number	:	747-233-6108
Fax Number	:

Provider Business Practice Location Address
First Line	:	14049 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3511
Country	:	US
Telephone Number	:	747-233-6108
Fax Number	:

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

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	06/09/2020

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