Organization
SOHEIL AHGHARI
Active
Other names
Greenfield Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SOHEIL AHGHARI RPH (OWNER)
(760) 842-1700
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, STE#195, VISTA, CA 92083-6031
(760) 842-1700
(760) 842-1745
Mailing address
2067 W VISTA WAY, STE#195, VISTA, CA 92083-6031
(760) 842-1700
(760) 842-1745
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51943
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147520
PK
—
Enumeration date
08/27/2014
Last updated
11/16/2016
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