Individual
ANISA SHOGHI GHALEH SHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 MISSION BLVD, JACKSON, CA 95642-2564
(209) 223-7550
Mailing address
200 MISSION BLVD, JACKSON, CA 95642-2564
(209) 223-7550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84957
CA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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