Provider Demographics
NPI:1922347061
Name:SAFFARI, FARZAD (PHARMD)
Entity Type:Individual
Prefix:
First Name:FARZAD
Middle Name:
Last Name:SAFFARI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TWELVE BRIDGES DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-8824
Mailing Address - Country:US
Mailing Address - Phone:916-408-0176
Mailing Address - Fax:916-408-0166
Practice Address - Street 1:700 TWELVE BRIDGES DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8824
Practice Address - Country:US
Practice Address - Phone:916-408-0176
Practice Address - Fax:916-408-0166
Is Sole Proprietor?:No
Enumeration Date:2013-02-09
Last Update Date:2013-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 46941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist