Provider Demographics
NPI:1215238852
Name:SAFFARNIA, SHERRY (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:
Last Name:SAFFARNIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:SHAHRZAD
Other - Middle Name:
Other - Last Name:SAFFARNIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2157 CARLMONT DR APT 2
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3423
Mailing Address - Country:US
Mailing Address - Phone:650-814-0725
Mailing Address - Fax:
Practice Address - Street 1:2100 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1656
Practice Address - Country:US
Practice Address - Phone:650-591-6918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-13
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist