Individual
BEETA MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 682-7111
Mailing address
333 E ARRELLAGA ST APT 2, SANTA BARBARA, CA 93101-8121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75662
CA
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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