Healthcare Provider Details

I. General information

NPI: 1396041836
Provider Name (Legal Business Name): NADEEN DAHIR PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13845 CONLAN CIRCLE
CHARLOTTE NC
28277
US

IV. Provider business mailing address

13845 CONLAN CIRCLE
CHARLOTTE NC
28277
US

V. Phone/Fax

Practice location:
  • Phone: 704-544-2092
  • Fax: 704-544-8251
Mailing address:
  • Phone: 704-544-2092
  • Fax: 704-544-8251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15311
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: