Provider Demographics
NPI:1487637575
Name:ELAHI, AFARIN (RPH)
Entity Type:Individual
Prefix:
First Name:AFARIN
Middle Name:
Last Name:ELAHI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 W ELLERY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0886
Mailing Address - Country:US
Mailing Address - Phone:559-438-8033
Mailing Address - Fax:
Practice Address - Street 1:659 E NEES AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2106
Practice Address - Country:US
Practice Address - Phone:559-446-0715
Practice Address - Fax:559-446-0278
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist