Provider Demographics
NPI:1821893405
Name:YOUSIF SAMAAN, FARAH SABAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FARAH
Middle Name:SABAH
Last Name:YOUSIF SAMAAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:FARAH
Other - Middle Name:
Other - Last Name:YOUSIF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:212 SPYGLASS PKWY
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 DIGITAL DR STE 200
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-8705
Practice Address - Country:US
Practice Address - Phone:415-455-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist