Provider Demographics
NPI:1164768909
Name:SADEGHPOUR, MAJID R (RPH, MS)
Entity Type:Individual
Prefix:MR
First Name:MAJID
Middle Name:R
Last Name:SADEGHPOUR
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 GEORGE C MARSHALL DR APT 1106
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2583
Mailing Address - Country:US
Mailing Address - Phone:617-458-9193
Mailing Address - Fax:
Practice Address - Street 1:10555 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-9353
Practice Address - Country:US
Practice Address - Phone:520-219-9862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019590183500000X
LA15070183500000X
MD17473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist