Individual
JASON NH SHOOSHTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
9201 GOLDEN VALLEY RD APT 530, GOLDEN VALLEY, MN 55427-4395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-107589
MT
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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