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BAHAREH ANDI
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1629440482
Individual Registrant: BAHAREH ANDI
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
32679 SEAGATE DR. #203 RANCHO PALOS VERDES, CA 90275 US
Tel: 310-346-8850 Fax: --
Tel: 310-346-8850 Fax: --
Contact information for business:
32679 SEAGATE DR. #203 RANCHO PALOS VERDES, CA 90275 US
Tel: 310-346-8850 Fax: --
Tel: 310-346-8850 Fax: --
Registration Information:
NPI: 1629440482
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 73670 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
