Individual
DR. BASSAM MUNIR HADDADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, PHARM D
Contact information
Practice address
1850 W 2100 S, SALT LAKE CITY, UT 84119-1304
(801) 978-8699
(801) 978-8634
Mailing address
1850 W 2100 S, SALT LAKE CITY, UT 84119-1304
(801) 978-8699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5251704-1701
UT
Other
Enumeration date
07/31/2006
Last updated
01/03/2024
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