Provider Demographics
NPI:1457990632
Name:ALSALIHI, ABDULLA NABIL NAFIA
Entity Type:Individual
Prefix:
First Name:ABDULLA
Middle Name:NABIL NAFIA
Last Name:ALSALIHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 FAIR OAKS BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-5177
Mailing Address - Country:US
Mailing Address - Phone:810-814-6508
Mailing Address - Fax:
Practice Address - Street 1:12801 FAIR OAKS BLVD APT 102
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-5177
Practice Address - Country:US
Practice Address - Phone:810-814-6508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-05
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist