Provider Demographics
NPI:1285225755
Name:MASHI, SAMAN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SAMAN
Middle Name:
Last Name:MASHI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 TX-3 NORTH
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3173
Mailing Address - Country:US
Mailing Address - Phone:832-478-2177
Mailing Address - Fax:609-455-1150
Practice Address - Street 1:502 TX-3 NORTH
Practice Address - Street 2:SUITE D
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3173
Practice Address - Country:US
Practice Address - Phone:832-478-2177
Practice Address - Fax:609-455-1150
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist