Provider Demographics
NPI:1104224427
Name:BAHRAMI, MARGARET NASRIN (RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NASRIN
Last Name:BAHRAMI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 CAMINO DEL ESTE APT 6417
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1557
Mailing Address - Country:US
Mailing Address - Phone:619-301-9984
Mailing Address - Fax:
Practice Address - Street 1:2173 CAMINO DEL ESTE APT 6417
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1557
Practice Address - Country:US
Practice Address - Phone:619-301-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA52424OtherCA STATE BOARD OF PHARMACY