Provider Demographics
NPI:1902112485
Name:KADI, NADINE (RPH)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:KADI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 KITSAP WAY
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-2449
Mailing Address - Country:US
Mailing Address - Phone:360-479-2415
Mailing Address - Fax:
Practice Address - Street 1:4117 KITSAP WAY
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-2449
Practice Address - Country:US
Practice Address - Phone:360-479-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60151247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist