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NPI Code Detail

MEDICARE: LAITH HASAN ALKHATIB

MEDICARE:   LAITH HASAN ALKHATIB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist49226TN

General Provider Information

NPI Number : 1043153695
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAITH HASAN ALKHATIB
Provider Business Mailing Address
First Line : 4717 KINGDOM DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-1582
Country : US
Telephone Number : 615-513-3174
Fax Number :
Provider Business Practice Location Address
First Line : 2045 FIELDSTONE PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37069-4336
Country : US
Telephone Number : 615-591-5828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ LAITH HASAN ALKHATIB ” Practice Location

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