Provider Demographics
NPI:1639543010
Name:HALIM, NADER AKRAM LOUIS (RPH)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:AKRAM LOUIS
Last Name:HALIM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 MARCO LN
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-2590
Mailing Address - Country:US
Mailing Address - Phone:408-315-7346
Mailing Address - Fax:
Practice Address - Street 1:5805 MARCO LN
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-2590
Practice Address - Country:US
Practice Address - Phone:408-315-7346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-22
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist