MEDICARE: SOFYA ARKHIPOVA 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	RPH 51932	CA

General Provider Information

NPI Number	:	1740311075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFYA ARKHIPOVA PHARM.D.

Provider Business Mailing Address
First Line	:	2560 GEARY BLVD
Second Line	:	APT 103
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3341
Country	:	US
Telephone Number	:	415-346-0170
Fax Number	:

Provider Business Practice Location Address
First Line	:	5614 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2215
Country	:	US
Telephone Number	:	415-752-3737
Fax Number	:	415-752-3730

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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