Provider Demographics
NPI:1720269277
Name:MEHR, IRFAN MAJID (RPH)
Entity Type:Individual
Prefix:MR
First Name:IRFAN
Middle Name:MAJID
Last Name:MEHR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PARK DR
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-2271
Mailing Address - Country:US
Mailing Address - Phone:607-324-6276
Mailing Address - Fax:607-324-1976
Practice Address - Street 1:12 PARK DR
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-2271
Practice Address - Country:US
Practice Address - Phone:607-324-6276
Practice Address - Fax:607-324-1976
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist