Provider Demographics
NPI:1194201152
Name:RASHEDI, NICHOLAS BOBAK (PHARMD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:BOBAK
Last Name:RASHEDI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2063
Mailing Address - Country:US
Mailing Address - Phone:419-475-4148
Mailing Address - Fax:
Practice Address - Street 1:4121 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2063
Practice Address - Country:US
Practice Address - Phone:419-475-4148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist