Individual
MIKAEL R HABTEZION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
501 J ST, SACRAMENTO, CA 95814-2325
(916) 497-3000
Mailing address
5039 PARKHURST DR, SANTA ROSA, CA 95409-3271
(707) 360-7237
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
87429
CA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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