# DR. LISA MOSTAFAVIFAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548664261
- **Gender:** F
- **Credential:** PHARM.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 03230809 | OH | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PS44772 | FL | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RP0007102 | WV | — |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/16/2014
