Provider Demographics
NPI:1215224670
Name:HAGHIGHI, NIMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:HAGHIGHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 SEPULVEDA BLVD
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2918
Mailing Address - Country:US
Mailing Address - Phone:818-648-2726
Mailing Address - Fax:
Practice Address - Street 1:5711 SEPULVEDA BLVD
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2918
Practice Address - Country:US
Practice Address - Phone:818-648-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61378183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist