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NPI Code Detail

MEDICARE: TARIK HASAN ABUDAYEH RPH

MEDICARE: TARIK HASAN ABUDAYEH 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
1183500000XPharmacistPST.024147LA

General Provider Information

NPI Number : 1972256634
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARIK HASAN ABUDAYEH RPH
Provider Business Mailing Address
First Line : 145 FIRETHORN DR
Second Line :
City : GRETNA
State : LA
Zip : 70056-7849
Country : US
Telephone Number : 504-388-7932
Fax Number :
Provider Business Practice Location Address
First Line : 2001 CAROL SUE AVE
Second Line :
City : GRETNA
State : LA
Zip : 70056-4445
Country : US
Telephone Number : 504-366-1535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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Directions to “ TARIK HASAN ABUDAYEH RPH” Practice Location

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