Provider Demographics
NPI:1184421521
Name:AFSHARIMEHR, MEHRDAD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEHRDAD
Middle Name:
Last Name:AFSHARIMEHR
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 1:601 LEVANDER WAY APT 214
Mailing Address - Street 2:
Mailing Address - City:SOUTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-2642
Mailing Address - Country:US
Mailing Address - Phone:714-552-5691
Mailing Address - Fax:
Practice Address - Street 1:1329 5TH ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1524
Practice Address - Country:US
Practice Address - Phone:612-355-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN126789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist