Provider Demographics
NPI:1588316822
Name:SALAVATI, MEHDI EDDIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEHDI
Middle Name:EDDIE
Last Name:SALAVATI
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 1:375 ROLLING OAKS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1026
Mailing Address - Country:US
Mailing Address - Phone:805-371-0700
Mailing Address - Fax:
Practice Address - Street 1:375 ROLLING OAKS DR STE 150
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1026
Practice Address - Country:US
Practice Address - Phone:805-371-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist