Provider Demographics
NPI:1487053310
Name:ZARGHAMI, RAZIEH
Entity type:Individual
Prefix:
First Name:RAZIEH
Middle Name:
Last Name:ZARGHAMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E EVELYN TER APT 166
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6791
Mailing Address - Country:US
Mailing Address - Phone:530-220-3089
Mailing Address - Fax:
Practice Address - Street 1:40580 ALBRAE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2448
Practice Address - Country:US
Practice Address - Phone:510-440-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist