Provider Demographics
NPI:1477272706
Name:AFRIDI, SALEEM K (RPH)
Entity Type:Individual
Prefix:MR
First Name:SALEEM
Middle Name:K
Last Name:AFRIDI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:SALEEM
Other - Middle Name:K
Other - Last Name:AFRIDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:23 DEEP WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1848
Mailing Address - Country:US
Mailing Address - Phone:386-795-4231
Mailing Address - Fax:
Practice Address - Street 1:310 W MITCHELL HAMMOCK RD STE 500
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4921
Practice Address - Country:US
Practice Address - Phone:407-366-2677
Practice Address - Fax:407-366-2535
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18350000XOtherPHARMACIST