Provider Demographics
NPI:1396813713
Name:MOAZI, SHERRI (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:
Last Name:MOAZI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHARAREH
Other - Middle Name:
Other - Last Name:MOAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2238 GEARY BLVD
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3416
Mailing Address - Country:US
Mailing Address - Phone:415-833-0390
Mailing Address - Fax:415-833-0118
Practice Address - Street 1:2238 GEARY BLVD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3416
Practice Address - Country:US
Practice Address - Phone:415-833-0390
Practice Address - Fax:415-833-0118
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50821183500000X
CO13315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist