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NPI Code Detail

MEDICARE: HALA HAMOUSH

MEDICARE: HALA HAMOUSH
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
1183500000XPharmacistPS62720FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578233599
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALA HAMOUSH
Provider Business Mailing Address
First Line : 4738 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-3308
Country : US
Telephone Number : 813-837-1848
Fax Number :
Provider Business Practice Location Address
First Line : 4738 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-3308
Country : US
Telephone Number : 813-837-1848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 09/20/2021

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Directions to “ HALA HAMOUSH ” Practice Location

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