Individual
BERNADETTE DERAKHSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7155 VAN NUYS BLVD, VAN NUYS, CA 91405-3006
(818) 989-4281
Mailing address
7155 VAN NUYS BLVD, VAN NUYS, CA 91405-3006
(818) 989-4281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH70510
CA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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