Healthcare Provider Details
I. General information
NPI: 1326201237
Provider Name (Legal Business Name): HIND I HAMID PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2008
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3414 HEATHER LN
HOOVER AL
35216-4402
US
IV. Provider business mailing address
3414 HEATHER LN
HOOVER AL
35216-4402
US
V. Phone/Fax
- Phone: 205-563-5674
- Fax: 205-824-4704
- Phone: 205-563-5674
- Fax: 205-824-4704
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | 14965 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: