Provider Demographics
NPI:1710595277
Name:BATROUKH, ASEEL NUMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASEEL
Middle Name:NUMAN
Last Name:BATROUKH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASEEL
Other - Middle Name:NUMAN
Other - Last Name:BADRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14505 NE FOURTH PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5003
Mailing Address - Country:US
Mailing Address - Phone:360-258-2653
Mailing Address - Fax:
Practice Address - Street 1:14505 NE FOURTH PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5003
Practice Address - Country:US
Practice Address - Phone:360-258-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29629183500000X
WAPH61087428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist