Provider Demographics
NPI:1588032627
Name:TASMIN, ALBERT HALIM (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:HALIM
Last Name:TASMIN
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 1:2400 MOORPARK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2623
Mailing Address - Country:US
Mailing Address - Phone:408-885-7676
Mailing Address - Fax:
Practice Address - Street 1:2400 MOORPARK AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2623
Practice Address - Country:US
Practice Address - Phone:408-885-7676
Practice Address - Fax:408-885-7690
Is Sole Proprietor?:No
Enumeration Date:2015-09-07
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist