Provider Demographics
NPI:1750858742
Name:HASHEMI, SAMAN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SAMAN
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3383 BASS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6623
Mailing Address - Country:US
Mailing Address - Phone:530-313-4925
Mailing Address - Fax:
Practice Address - Street 1:3383 BASS LAKE RD
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-6623
Practice Address - Country:US
Practice Address - Phone:530-313-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-27
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist