Healthcare Provider Details

I. General information

NPI: 1649832411
Provider Name (Legal Business Name): ABDULHAMID S NASSOR PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44426 HANFORD RD
CANTON MI
48187-2602
US

IV. Provider business mailing address

791 FM 1103 STE 121
SCHERTZ TX
78108-3673
US

V. Phone/Fax

Practice location:
  • Phone: 210-236-7700
  • Fax:
Mailing address:
  • Phone: 210-236-7700
  • Fax: 855-571-3571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5402040610
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number64223
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64223
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: