Provider Demographics
NPI:1316487762
Name:QADRI, NASIR (PHARMD)
Entity type:Individual
Prefix:
First Name:NASIR
Middle Name:
Last Name:QADRI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:MR
Other - First Name:NASIRZIA SYED
Other - Middle Name:
Other - Last Name:QADRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 6252
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-0252
Mailing Address - Country:US
Mailing Address - Phone:310-760-1426
Mailing Address - Fax:
Practice Address - Street 1:1726 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3615
Practice Address - Country:US
Practice Address - Phone:949-629-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-05
Last Update Date:2017-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist