Healthcare Provider Details

I. General information

NPI: 1346362266
Provider Name (Legal Business Name): NISREEN F RASHID RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10631 TIERRASANTA BLVD
SAN DIEGO CA
92124-2605
US

IV. Provider business mailing address

18175 MOON SONG CT
SAN DIEGO CA
92127-3105
US

V. Phone/Fax

Practice location:
  • Phone: 858-576-0972
  • Fax:
Mailing address:
  • Phone: 858-675-0352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: