Provider Demographics
NPI:1821705948
Name:GASHTI, ALEXANDER NEJAD (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:NEJAD
Last Name:GASHTI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 E FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-6278
Mailing Address - Country:US
Mailing Address - Phone:813-975-1998
Mailing Address - Fax:
Practice Address - Street 1:2911 E FOWLER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-6278
Practice Address - Country:US
Practice Address - Phone:813-975-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist