Most Relevant Information
Provider Data
| NPI Number: | 1003685926 |
| Provider Name: | ALMUTASM NASSR |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302415669 |
Most Important Dates
| Enumeration Date: | 12/20/2023 |
| Last Updated: | 12/20/2023 |
Provider Practice Location
1515 LAKE LANSING RD STE B
LANSING
MI
489123752
Practice Location Phone/Fax
| Phone: | 5177300999 |
| Fax: |
Provider Mailing Location
7822 THEISEN ST
DEARBORN
MI
481261244
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |