Provider Demographics
NPI:1740645977
Name:ALABBAS, NAHLA (PHARM D)
Entity type:Individual
Prefix:
First Name:NAHLA
Middle Name:
Last Name:ALABBAS
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 1:3101 BOWLING GREEN DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4556
Mailing Address - Country:US
Mailing Address - Phone:925-323-8587
Mailing Address - Fax:
Practice Address - Street 1:3101 BOWLING GREEN DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-4556
Practice Address - Country:US
Practice Address - Phone:925-323-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist