Provider Demographics
NPI:1043016173
Name:TAHIR, AVEEN A (PHARMD)
Entity type:Individual
Prefix:
First Name:AVEEN
Middle Name:A
Last Name:TAHIR
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:AVEEN
Other - Middle Name:AHMAD
Other - Last Name:SHARIF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:215 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-7243
Mailing Address - Country:US
Mailing Address - Phone:619-401-0761
Mailing Address - Fax:
Practice Address - Street 1:215 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-7243
Practice Address - Country:US
Practice Address - Phone:619-401-0761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist