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NPI Code Detail

MEDICARE: SHAHRZAD SARAIE RPH

MEDICARE: SHAHRZAD SARAIE 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
1183500000XPharmacist66618CA

General Provider Information

NPI Number : 1811381635
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHRZAD SARAIE RPH
Provider Business Mailing Address
First Line : 1 WELWYN RD # 273
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-3527
Country : US
Telephone Number : 818-000-0000
Fax Number :
Provider Business Practice Location Address
First Line : 12842 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2369
Country : US
Telephone Number : 818-818-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2015
Last Update Date : 02/04/2022

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Directions to “ SHAHRZAD SARAIE RPH” Practice Location

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