Provider Demographics
NPI:1225404908
Name:RAZEGHI, JASMINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:RAZEGHI
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 1:3901 LAS POSAS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1505
Mailing Address - Country:US
Mailing Address - Phone:805-419-2686
Mailing Address - Fax:805-419-2687
Practice Address - Street 1:3901 LAS POSAS RD STE 101
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1505
Practice Address - Country:US
Practice Address - Phone:805-419-2686
Practice Address - Fax:805-419-2687
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52147183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist