Provider Demographics
NPI:1609480490
Name:ADABKHAH, SEYEDEH BITA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SEYEDEH
Middle Name:BITA
Last Name:ADABKHAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SEYEDEH
Other - Middle Name:BITA
Other - Last Name:ADABKHAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9272 S VILLAGE POINT WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2685
Mailing Address - Country:US
Mailing Address - Phone:801-864-0932
Mailing Address - Fax:
Practice Address - Street 1:1410 N REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-7177
Practice Address - Country:US
Practice Address - Phone:801-766-1426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT104899731701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist