Individual
HISHAM ABDELAZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2880 HIGHWAY 190, MANDEVILLE, LA 70471-3254
(504) 920-1456
Mailing address
2880 HIGHWAY 190, MANDEVILLE, LA 70471-3254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024880
LA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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