Individual ProviderHaleh VakiliPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-7656PECOS EnrollmentBased on the most recent information from CMS, provider Haleh Vakili does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1124715628Provider TypeIndividualFull NameVakili, HalehCredentialPHARM DGenderFemaleSole ProprietorYesEnumeration Date4/24/2023Last Updated4/24/2023Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense64124California