Provider Demographics
NPI:1457781437
Name:FAISAL, NOUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:NOUR
Middle Name:
Last Name:FAISAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 WHITE LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-6418
Mailing Address - Country:US
Mailing Address - Phone:661-396-0344
Mailing Address - Fax:661-396-7292
Practice Address - Street 1:4100 WHITE LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-6418
Practice Address - Country:US
Practice Address - Phone:661-396-0344
Practice Address - Fax:661-396-7292
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist