Individual
MEHRAN NAZARI AMINEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 W NOB HILL BLVD, YAKIMA, WA 98908
(509) 965-0541
Mailing address
6400 W NOB HILL BLVD, YAKIMA, WA 98908-1929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20012
NV
183500000X
Pharmacist
Primary
PH60889426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20012
PHARMACIST LICENSE
NV
01
—
PH60889426
PHARMACIST LICENSE
WA
Enumeration date
12/01/2018
Last updated
12/01/2018
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