Individual
FADI NASSANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 S AUBURN ST, KENNEWICK, WA 99336-5629
(509) 547-2204
(509) 542-8836
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60401447
WA
Other
Enumeration date
11/22/2013
Last updated
09/10/2021
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