Provider Demographics
NPI:1649745118
Name:KHOSH, ARASH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:KHOSH
Suffix:
Gender:M
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 1:8808 RIVER PINES CT APT 201
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1741
Mailing Address - Country:US
Mailing Address - Phone:818-216-4101
Mailing Address - Fax:
Practice Address - Street 1:8808 RIVER PINES CT APT 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1741
Practice Address - Country:US
Practice Address - Phone:818-216-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist