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NPI Code Detail

MEDICARE: HANAN DIMITRY RPH

MEDICARE: HANAN DIMITRY RPH
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
1183500000XPharmacist44464CA

General Provider Information

NPI Number : 1952685141
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANAN DIMITRY RPH
Provider Business Mailing Address
First Line : 18649 VIA PRINCESSA
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-4935
Country : US
Telephone Number : 661-250-2845
Fax Number : 661-250-2824
Provider Business Practice Location Address
First Line : 18649 VIA PRINCESSA
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-4935
Country : US
Telephone Number : 661-250-2845
Fax Number : 661-250-2824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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Directions to “ HANAN DIMITRY RPH” Practice Location

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