Provider Demographics
NPI:1992026801
Name:BEKHIT, SOSANA SOLIMAN
Entity Type:Individual
Prefix:MRS
First Name:SOSANA
Middle Name:SOLIMAN
Last Name:BEKHIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SOSANA
Other - Middle Name:
Other - Last Name:BEKHIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:2812 VANDERGRIFT DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3016
Mailing Address - Country:US
Mailing Address - Phone:714-993-1647
Mailing Address - Fax:
Practice Address - Street 1:2812 VANDERGRIFT DR.
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-993-1647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist