Provider Demographics
NPI:1982044665
Name:SHAFIE, SHERIFEH MORSHEDI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERIFEH
Middle Name:MORSHEDI
Last Name:SHAFIE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 E BLACKWILLOW CIR
Mailing Address - Street 2:APT 106
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1950
Mailing Address - Country:US
Mailing Address - Phone:714-602-8042
Mailing Address - Fax:
Practice Address - Street 1:8218 E BLACKWILLOW CIR
Practice Address - Street 2:APT 106
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1950
Practice Address - Country:US
Practice Address - Phone:714-602-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61008183500000X
MD18514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist