Provider Demographics
NPI:1851682603
Name:ELMASRY, NEVINE RAMZY (BSC)
Entity Type:Individual
Prefix:MRS
First Name:NEVINE
Middle Name:RAMZY
Last Name:ELMASRY
Suffix:
Gender:F
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 GRANT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3200
Mailing Address - Country:US
Mailing Address - Phone:650-967-0184
Mailing Address - Fax:650-968-0488
Practice Address - Street 1:1040 GRANT RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3200
Practice Address - Country:US
Practice Address - Phone:650-967-0184
Practice Address - Fax:650-968-0488
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist