Individual
HASAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2107 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(504) 451-0496
Mailing address
760 MARLENE DR, GRETNA, LA 70056-7649
(504) 451-0496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025727
LA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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