Provider Demographics
NPI:1720483795
Name:FORTE, RASHIDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RASHIDA
Middle Name:
Last Name:FORTE
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 1:1321 ALLEGHENY MOON TERRACE
Mailing Address - Street 2:#2
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002
Mailing Address - Country:US
Mailing Address - Phone:702-614-4874
Mailing Address - Fax:
Practice Address - Street 1:5941 FITZGERALD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89191-6515
Practice Address - Country:US
Practice Address - Phone:702-383-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist