Provider Demographics
NPI:1376005959
Name:LASHKARI, PARISA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PARISA
Middle Name:
Last Name:LASHKARI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CONSTITUTION AVE APT 139
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-5079
Mailing Address - Country:US
Mailing Address - Phone:201-240-4344
Mailing Address - Fax:
Practice Address - Street 1:300 CONSTITUTION AVE APT 139
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5079
Practice Address - Country:US
Practice Address - Phone:201-240-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03896700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist