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NPI Code Detail

MEDICARE: FARNOUSH PEDRAMI

MEDICARE:   FARNOUSH  PEDRAMI
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
1183500000XPharmacist74490CA

General Provider Information

NPI Number : 1457700346
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARNOUSH PEDRAMI
Provider Business Mailing Address
First Line : 10045 COMBIE RD
Second Line :
City : AUBURN
State : CA
Zip : 95602-8901
Country : US
Telephone Number : 530-268-3753
Fax Number :
Provider Business Practice Location Address
First Line : 10045 COMBIE RD
Second Line :
City : AUBURN
State : CA
Zip : 95602-8901
Country : US
Telephone Number : 530-268-3753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 03/17/2018

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Directions to “ FARNOUSH PEDRAMI ” Practice Location

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