Individual provider · Type 1 NPI

Shiva Khosravi Moghadam, RPH

Pharmacist · Kirkland, WA

NPI number 1891065660 Active

Practice location

12405 NE 85th St
Kirkland, WA 98033-8032

Call (425) 822-9202 Map

Fax (425) 822-9407

Mailing address

12430 93rd Ave NE
Kirkland, WA 98034-5913

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH00043094 (WA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1891065660

Shiva Khosravi Moghadam, RPH's National Provider Identifier is 1891065660, issued on Jan 10, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kirkland, WA. The record was last updated on Jan 10, 2012.