Provider Demographics
NPI:1770951279
Name:GHANBARI, MAJID (RPH)
Entity type:Individual
Prefix:MR
First Name:MAJID
Middle Name:
Last Name:GHANBARI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 RAILROAD AVE APT 407
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5033
Mailing Address - Country:US
Mailing Address - Phone:206-321-5604
Mailing Address - Fax:
Practice Address - Street 1:1070 E SUNSET DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3509
Practice Address - Country:US
Practice Address - Phone:360-647-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60577577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist