MEDICARE: HANADI AFANEH

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
1	183500000X	Pharmacist	022693	LA

General Provider Information

NPI Number	:	1205701505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANADI AFANEH

Provider Business Mailing Address
First Line	:	908 E LEXINGTON AVE
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-4543
Country	:	US
Telephone Number	:	504-453-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	2731 MANHATTAN BLVD STE B17
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-6154
Country	:	US
Telephone Number	:	888-355-4191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ HANADI AFANEH ” Practice Location

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