MEDICARE: NASIR QADRI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	74232	CA

General Provider Information

NPI Number	:	1316487762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASIR QADRI PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 6252
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-0252
Country	:	US
Telephone Number	:	310-760-1426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1726 SUPERIOR AVE
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3615
Country	:	US
Telephone Number	:	949-629-9714
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2017
Last Update Date	:	03/05/2017

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