Provider Demographics
NPI:1538298922
Name:JOSHI, SAMIR N (BS(PHARMACY))
Entity Type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:N
Last Name:JOSHI
Suffix:
Gender:M
Credentials:BS(PHARMACY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3732
Mailing Address - Country:US
Mailing Address - Phone:415-871-0117
Mailing Address - Fax:628-221-5961
Practice Address - Street 1:245 11TH ST STE P1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3732
Practice Address - Country:US
Practice Address - Phone:415-871-0117
Practice Address - Fax:628-221-5961
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3407183500000X
CA68500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist