Healthcare Provider Details

I. General information

NPI: 1588320071
Provider Name (Legal Business Name): AHMAD GAMAL NASSEF PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 FRESNO ST
FRESNO CA
93706-3235
US

IV. Provider business mailing address

480 W EVERGLADE AVE
CLOVIS CA
93619-0432
US

V. Phone/Fax

Practice location:
  • Phone: 559-774-5113
  • Fax: 559-774-5114
Mailing address:
  • Phone: 559-371-5757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number85608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: