Provider Demographics
NPI:1033611165
Name:ROSHAN MONIRI, NAZANIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAZANIN
Middle Name:
Last Name:ROSHAN MONIRI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 HOYT AVE APT 321
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3736
Mailing Address - Country:US
Mailing Address - Phone:604-716-5548
Mailing Address - Fax:
Practice Address - Street 1:10103 EVERGREEN WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-3860
Practice Address - Country:US
Practice Address - Phone:425-347-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60780822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist