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BADRI BEHESHTI
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1174188643
Individual Registrant: BADRI BEHESHTI
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
26891 ALISO CREEK RD ALISO VIEJO, CA 92656-3392 US
Tel: 949-360-4081 Fax: 949-360-4093
Tel: 949-360-4081 Fax: 949-360-4093
Contact information for business:
26891 ALISO CREEK RD ALISO VIEJO, CA 92656-3392 US
Tel: 949-360-4081 Fax: 949-360-4093
Tel: 949-360-4081 Fax: 949-360-4093
Registration Information:
NPI: 1174188643
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 40762 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
