Provider Demographics
NPI:1285934596
Name:AMINI, SHAHIN (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHAHIN
Middle Name:
Last Name:AMINI
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 1:9807 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2015
Mailing Address - Country:US
Mailing Address - Phone:301-391-6150
Mailing Address - Fax:301-391-6266
Practice Address - Street 1:9807 MAIN ST
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2015
Practice Address - Country:US
Practice Address - Phone:301-391-6150
Practice Address - Fax:301-391-6266
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD443055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist