Provider Demographics
NPI:1770722357
Name:SAHAFI, LALEH (RPH)
Entity type:Individual
Prefix:
First Name:LALEH
Middle Name:
Last Name:SAHAFI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10223 NE 10TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4279
Mailing Address - Country:US
Mailing Address - Phone:206-910-0300
Mailing Address - Fax:
Practice Address - Street 1:10223 NE 10TH ST STE E
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4279
Practice Address - Country:US
Practice Address - Phone:206-910-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist