Provider Demographics
NPI:1255418166
Name:HAGHGOU, ROBERT B (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:HAGHGOU
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:BABAK
Other - Middle Name:
Other - Last Name:HAGHGOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:253 BELLAGIO CIR
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-5001
Mailing Address - Country:US
Mailing Address - Phone:407-865-7020
Mailing Address - Fax:407-865-7088
Practice Address - Street 1:253 BELLAGIO CIR STE 1002
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-5001
Practice Address - Country:US
Practice Address - Phone:407-865-7020
Practice Address - Fax:407-865-7088
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0023122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist