Individual
MRS. AZADEH NAKISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
CVS PHARMACY, 291 N MCDOWELL BLVD, 291 N MCDOWELL BLVD, PETALUMA, CA 94954
(707) 778-8666
Mailing address
CVS PHARMACY, 291 N MCDOWELL BLVD, 291 N MCDOWELL BLVD, PETALUMA, CA 94954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83770
CA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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