Provider Demographics
NPI:1255998548
Name:SAFI, HEMALIA (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:HEMALIA
Middle Name:
Last Name:SAFI
Suffix:
Gender:F
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 1:981 SHORTLAND CIR
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8569
Mailing Address - Country:US
Mailing Address - Phone:209-275-5692
Mailing Address - Fax:
Practice Address - Street 1:901 N CARPENTER RD STE 30
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-1301
Practice Address - Country:US
Practice Address - Phone:209-575-2429
Practice Address - Fax:209-525-8503
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53658183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist