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NPI Code Detail

MEDICARE: NASIR NADIR ALI PHARM. D.

MEDICARE: NASIR NADIR ALI PHARM. D.
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
1183500000XPharmacist60386CA

General Provider Information

NPI Number : 1699060095
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASIR NADIR ALI PHARM. D.
Provider Business Mailing Address
First Line : 3944 GRAND AVE
Second Line : T-0912
City : CHINO
State : CA
Zip : 91710-5422
Country : US
Telephone Number : 909-364-0725
Fax Number : 909-364-0725
Provider Business Practice Location Address
First Line : 3944 GRAND AVE
Second Line : T-0912
City : CHINO
State : CA
Zip : 91710-5422
Country : US
Telephone Number : 909-364-0725
Fax Number : 909-364-0725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 06/14/2011

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