Provider Demographics
NPI:1952766404
Name:NASSRI, NOELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:NASSRI
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:PO BOX 2797
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-2797
Mailing Address - Country:US
Mailing Address - Phone:214-912-2957
Mailing Address - Fax:
Practice Address - Street 1:10001 WOODLANDS PKWY
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2883
Practice Address - Country:US
Practice Address - Phone:281-419-5945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist