Individual
HANABLE SADIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
345 INTERNATIONAL BLVD STE 200, BROOKS, KY 40109-6202
(877) 654-7812
Mailing address
5939 BAY HARBOR DR, LOUISVILLE, KY 40228-1149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020101
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020101
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
04/25/2019
Last updated
04/25/2019
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