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NPI Code Detail

MEDICARE: DR. NASSER S SHEHADE PHARMD

MEDICARE:  DR. NASSER S SHEHADE  PHARMD
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
1183500000XPharmacist65906CA

General Provider Information

NPI Number : 1710234679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NASSER S SHEHADE PHARMD
Provider Business Mailing Address
First Line : 7299 LAGUNA BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758
Country : US
Telephone Number : 916-691-4412
Fax Number : 916-691-4514
Provider Business Practice Location Address
First Line : 7299 LAGUNA BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5059
Country : US
Telephone Number : 916-691-4412
Fax Number : 916-691-4514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 08/10/2012

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Directions to “ DR. NASSER S SHEHADE PHARMD” Practice Location

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