Provider Demographics
NPI:1073081840
Name:CLAPPER, FARIBA (PHARMD)
Entity Type:Individual
Prefix:
First Name:FARIBA
Middle Name:
Last Name:CLAPPER
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 1:4148 SALLY RIDE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-4001
Mailing Address - Country:US
Mailing Address - Phone:925-339-5826
Mailing Address - Fax:
Practice Address - Street 1:4070 BASELINE RD STE 110
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-6489
Practice Address - Country:US
Practice Address - Phone:925-339-5826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist