Provider Demographics
NPI:1225331929
Name:HASSAN, NAREESA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAREESA
Middle Name:
Last Name:HASSAN
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 1:52 CENTRAL AVE W
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-2622
Mailing Address - Country:US
Mailing Address - Phone:410-919-1160
Mailing Address - Fax:410-919-1161
Practice Address - Street 1:52 CENTRAL AVE W
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2622
Practice Address - Country:US
Practice Address - Phone:410-919-1160
Practice Address - Fax:410-919-1161
Is Sole Proprietor?:No
Enumeration Date:2010-12-19
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist