Shiva Khosravi Moghadam, RPH Valid NPI
Individual provider · Pharmacist · Kirkland, WA
- NPI
- 1891065660
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- PH00043094 (WA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-01-10
- Last updated
- 2012-01-10
Practice location
12405 Ne 85th St
Kirkland, WA 98033-8032
(425) 822-9202