Provider Demographics
NPI:1588032627
Name:TASMIN, ALBERT HALIM (PHARMD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:HALIM
Last Name:TASMIN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 N PERSHING AVE STE A3
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-4910
Mailing Address - Country:US
Mailing Address - Phone:209-488-7770
Mailing Address - Fax:
Practice Address - Street 1:5713 N PERSHING AVE STE A3
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4910
Practice Address - Country:US
Practice Address - Phone:209-488-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-07
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist