Provider Demographics
NPI:1154919686
Name:DOBS, YASMINAH ELSAADANY (REGISTRED PHARMACIST)
Entity type:Individual
Prefix:
First Name:YASMINAH
Middle Name:ELSAADANY
Last Name:DOBS
Suffix:
Gender:F
Credentials:REGISTRED PHARMACIST
Other - Prefix:MRS
Other - First Name:YASMINAH
Other - Middle Name:E
Other - Last Name:DOBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3905 N ROXBORO ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2117
Mailing Address - Country:US
Mailing Address - Phone:919-471-1534
Mailing Address - Fax:
Practice Address - Street 1:3905 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2117
Practice Address - Country:US
Practice Address - Phone:919-471-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC000030786304OtherDMV