Healthcare Provider Details

I. General information

NPI: 1154230449
Provider Name (Legal Business Name): ABDALLAH NASSER ALDAHER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4580 MONROE ST
TOLEDO OH
43613-4738
US

IV. Provider business mailing address

3805 OAK FOREST DR
TOLEDO OH
43614-3444
US

V. Phone/Fax

Practice location:
  • Phone: 419-474-3915
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447242
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: