Provider Demographics
NPI:1013132414
Name:YAZDI, FARROKH AGHAI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FARROKH
Middle Name:AGHAI
Last Name:YAZDI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 HECKER CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1271
Mailing Address - Country:US
Mailing Address - Phone:408-274-4701
Mailing Address - Fax:408-782-0525
Practice Address - Street 1:18181 BUTTERFIELD BLVD STE 140
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-2897
Practice Address - Country:US
Practice Address - Phone:408-782-0500
Practice Address - Fax:408-782-0525
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43968183500000X
NV10844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist