Provider Demographics
NPI:1710580444
Name:ABBAS, BASHEER (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:BASHEER
Middle Name:
Last Name:ABBAS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 10TH ST NW STE C1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4394
Mailing Address - Country:US
Mailing Address - Phone:202-326-1401
Mailing Address - Fax:202-326-1407
Practice Address - Street 1:1117 10TH ST NW STE C1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4394
Practice Address - Country:US
Practice Address - Phone:202-326-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty