Provider Demographics
NPI:1083703961
Name:ELAHI, AFSAR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:AFSAR
Middle Name:
Last Name:ELAHI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19167 S DIXIE HWY
Mailing Address - Street 2:WINN DIXIE PHARMACY
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7714
Mailing Address - Country:US
Mailing Address - Phone:305-254-9088
Mailing Address - Fax:305-254-9087
Practice Address - Street 1:19167 S DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157
Practice Address - Country:US
Practice Address - Phone:305-254-9088
Practice Address - Fax:305-254-9087
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 25469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist