Provider Demographics
NPI:1740594035
Name:NASIR, SABIHA (RPH)
Entity Type:Individual
Prefix:
First Name:SABIHA
Middle Name:
Last Name:NASIR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-2505
Mailing Address - Country:US
Mailing Address - Phone:973-423-5500
Mailing Address - Fax:973-423-3172
Practice Address - Street 1:325 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2505
Practice Address - Country:US
Practice Address - Phone:973-423-5500
Practice Address - Fax:973-423-3172
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02745500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist