Individual
NISHAT BASHAR-NTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
341 STATE ST, MADISON, WI 53703-2057
(608) 251-4454
(608) 251-3853
Mailing address
341 STATE ST, MADISON, WI 53703-2057
(608) 251-4454
(608) 251-3853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16109-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699793380
NPI
WI
05
—
1699793380
—
WI
01
—
5111098
NABP
WI
Enumeration date
01/17/2017
Last updated
01/17/2017
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