Dr. Maryam Baghestanian, pharmD
Pharmacist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1104359231
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1104359231
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maryam Baghestanian
- Credential
- pharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2017
- Certification date
- Dec 22, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 58487 | CA | Yes |
Practice location
401 Bicentennial WaySanta Rosa, CA 95403-2149
Phone 707-393-4700
Mailing address
401 Bicentennial WaySanta Rosa, CA 95403-2149
Phone 707-393-4700
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