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Contact Information

AZADEH NAKISA, RPH
CVS PHARMACY, 291 N MCDOWELL BLVD
291 N MCDOWELL BLVD
PETALUMA, CA94954
 Phone: 707-778-8666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for AZADEH NAKISA · (Female)

NPI Number 1407424476
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 06/15/2021
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 83770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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