Provider Demographics
NPI:1427579937
Name:NAZARI, WALID AHMED (PHARMD)
Entity Type:Individual
Prefix:
First Name:WALID
Middle Name:AHMED
Last Name:NAZARI
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 1:111 SWORDGATE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-1769
Mailing Address - Country:US
Mailing Address - Phone:919-607-4258
Mailing Address - Fax:
Practice Address - Street 1:1550 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2304
Practice Address - Country:US
Practice Address - Phone:910-944-0438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist