Provider Demographics
NPI:1689904344
Name:BASMEH, NASSER (RPH,BS BIOCHEMISTRY)
Entity Type:Individual
Prefix:MR
First Name:NASSER
Middle Name:
Last Name:BASMEH
Suffix:
Gender:M
Credentials:RPH,BS BIOCHEMISTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 SUMMITVIEW AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2945
Mailing Address - Country:US
Mailing Address - Phone:509-972-2986
Mailing Address - Fax:509-972-5401
Practice Address - Street 1:4001 SUMMITVIEW AVE STE 1
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908
Practice Address - Country:US
Practice Address - Phone:509-972-2986
Practice Address - Fax:509-972-5401
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist