Provider Demographics
NPI:1528342011
Name:SALAFIAN, MARYAM (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MARYAM
Middle Name:
Last Name:SALAFIAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:MARYAM
Other - Middle Name:
Other - Last Name:ZEINALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1415 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-2070
Mailing Address - Country:US
Mailing Address - Phone:805-452-7344
Mailing Address - Fax:
Practice Address - Street 1:5900 CALLE REAL
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-2312
Practice Address - Country:US
Practice Address - Phone:805-967-3798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist