Provider Demographics
NPI:1518323351
Name:MALEKIAN NOBARANI, MANIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MANIA
Middle Name:
Last Name:MALEKIAN NOBARANI
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 1:30 BELLIS FAIR PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-5573
Mailing Address - Country:US
Mailing Address - Phone:360-756-5720
Mailing Address - Fax:
Practice Address - Street 1:30 BELLIS FAIR PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5573
Practice Address - Country:US
Practice Address - Phone:360-756-5720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-09
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74265183500000X
WA61058326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist