IndividualActive
Adam Nasser
NPI 1518636802 · Pharmacist · Detroit, MI
Provider details
- NPI number
- 1518636802
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302413781 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
19150 Wyoming St
Detroit, MI 48221-3220
Phone: (313) 341-9700
Approximate (ZIP-level) locationGet directions
Mailing address
18430 Fenkell St
Detroit, MI 48223-2301
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.