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General NPI Number Information
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NPI Number | 1891561882
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Entity Type | Organization
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Legal Business Name | HANINI RX LLC
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 03/16/2024
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Provider Practice Location Address
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Address Line | 3782 W 117TH ST
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City | CLEVELAND
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State | OH
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Zip | 44111-5265
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Country | US
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Telephone | 216-331-3642
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Fax | 216-465-1635
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Provider Business Mailing Address
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Address Line | 802 TOLLIS PKWY
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-1805
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Country | US
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Telephone | 216-331-3642
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Fax | 216-465-1635
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | OMAR NAJJAR
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Credential | PHARM D
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Telephone | 440-532-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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