Provider Demographics
NPI:1386951051
Name:NASSER, SABBAH SOBIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SABBAH
Middle Name:SOBIE
Last Name:NASSER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 KING RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1259
Mailing Address - Country:US
Mailing Address - Phone:734-671-4302
Mailing Address - Fax:
Practice Address - Street 1:1625 KING RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-1259
Practice Address - Country:US
Practice Address - Phone:703-430-3328
Practice Address - Fax:703-430-8203
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302037546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist