Individual
MAYKEL HASHEMIEH SHIRAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2292 GABLE RD, SAINT HELENS, OR 97051
(503) 366-5157
Mailing address
2292 GABLE RD, SAINT HELENS, OR 97051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014669
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014669
OR
Other
Enumeration date
10/22/2015
Last updated
04/12/2018
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