Individual
LUAY ABUHASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3805 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
(317) 786-3820
Mailing address
3805 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
(317) 786-3820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023963A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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