Provider Demographics
NPI:1235409731
Name:HABIBI, SHERLI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERLI
Middle Name:
Last Name:HABIBI
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 1:31 LAKERIDGE
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3429
Mailing Address - Country:US
Mailing Address - Phone:317-201-0334
Mailing Address - Fax:
Practice Address - Street 1:31 LAKERIDGE
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-3429
Practice Address - Country:US
Practice Address - Phone:317-201-0334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-31
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist