Provider Demographics
NPI:1235419771
Name:MAHDY, SARAH F (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:F
Last Name:MAHDY
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 1:1399 ROXBURY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4714
Mailing Address - Country:US
Mailing Address - Phone:310-203-1007
Mailing Address - Fax:310-522-5330
Practice Address - Street 1:1399 ROXBURY DR STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-4714
Practice Address - Country:US
Practice Address - Phone:310-203-1007
Practice Address - Fax:310-552-5330
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14202183500000X
CA80600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist