Healthcare Provider Details

I. General information

NPI: 1942164371
Provider Name (Legal Business Name): SAMI HASAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 MAGNOLIA DOWNS E
MOBILE AL
36695-7735
US

IV. Provider business mailing address

3650 MAGNOLIA DOWNS E
MOBILE AL
36695-7735
US

V. Phone/Fax

Practice location:
  • Phone: 251-281-5959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24420
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: