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NPI Code Detail

MEDICARE: ASSAD NASR

MEDICARE: ASSAD NASR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist013916KY

General Provider Information

NPI Number : 1578216933
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASSAD NASR
Provider Business Mailing Address
First Line : 990 BAXTER AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-2064
Country : US
Telephone Number : 502-585-3239
Fax Number :
Provider Business Practice Location Address
First Line : 990 BAXTER AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-2064
Country : US
Telephone Number : 502-585-3239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ ASSAD NASR ” Practice Location

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