Provider Demographics
NPI:1285932921
Name:BADWAN, ASMA J (RPH)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:J
Last Name:BADWAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 FALLS OF NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6877
Mailing Address - Country:US
Mailing Address - Phone:919-876-5780
Mailing Address - Fax:919-876-4069
Practice Address - Street 1:6325 FALLS OF NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6877
Practice Address - Country:US
Practice Address - Phone:919-876-5780
Practice Address - Fax:919-876-4069
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist