Provider Demographics
NPI:1114232824
Name:VASIGHI, AFSANEH S (PHARM D,RPH)
Entity Type:Individual
Prefix:MRS
First Name:AFSANEH
Middle Name:S
Last Name:VASIGHI
Suffix:
Gender:F
Credentials:PHARM D,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6807 PRAIRIE DUNES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1785
Mailing Address - Country:US
Mailing Address - Phone:713-291-5483
Mailing Address - Fax:
Practice Address - Street 1:10375 RICHMOND AVE
Practice Address - Street 2:1575
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4143
Practice Address - Country:US
Practice Address - Phone:713-541-1177
Practice Address - Fax:713-953-1925
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist