Provider Demographics
NPI:1083829071
Name:NAJJAR-GHATTAS, NATHALIE ANTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:ANTON
Last Name:NAJJAR-GHATTAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 FRENO WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-7524
Mailing Address - Country:US
Mailing Address - Phone:916-933-2306
Mailing Address - Fax:
Practice Address - Street 1:4701 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2953
Practice Address - Country:US
Practice Address - Phone:916-483-8479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist