Provider Demographics
NPI:1184113128
Name:HASHASH, MOHAMADIA NASSER (PHARM D)
Entity type:Individual
Prefix:
First Name:MOHAMADIA
Middle Name:NASSER
Last Name:HASHASH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S 91ST AVE # 2
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-8451
Mailing Address - Country:US
Mailing Address - Phone:201-686-7176
Mailing Address - Fax:
Practice Address - Street 1:5606 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3038
Practice Address - Country:US
Practice Address - Phone:509-965-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60748099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist