Provider Demographics
NPI:1548542426
Name:GHASSEMI, ME LEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ME
Middle Name:LEE
Last Name:GHASSEMI
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 1:4298 RIDERS LANE
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061
Mailing Address - Country:US
Mailing Address - Phone:610-485-0304
Mailing Address - Fax:
Practice Address - Street 1:3620 CONCORD ROAD
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014
Practice Address - Country:US
Practice Address - Phone:610-485-8102
Practice Address - Fax:610-485-8978
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-039390-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist