Provider Demographics
NPI:1922201060
Name:HADJIGHAFOURI, ALIREZA (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALIREZA
Middle Name:
Last Name:HADJIGHAFOURI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 COMISTAS DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4555
Mailing Address - Country:US
Mailing Address - Phone:925-323-9958
Mailing Address - Fax:925-210-1446
Practice Address - Street 1:2880 COMISTAS DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-4555
Practice Address - Country:US
Practice Address - Phone:925-323-9958
Practice Address - Fax:925-210-1446
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist