MEDICARE: MRS. ELISABETTA CARIA-ZADEH RPH

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	76429	CA

General Provider Information

NPI Number	:	1730021734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISABETTA CARIA-ZADEH RPH

Provider Business Mailing Address
First Line	:	2461 SHATTUCK AVENUE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704
Country	:	US
Telephone Number	:	510-548-8777
Fax Number	:	510-548-0305

Provider Business Practice Location Address
First Line	:	2461 SHATTUCK AVENUE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704
Country	:	US
Telephone Number	:	510-548-8777
Fax Number	:	510-548-0305

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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