Individual
MAHMOUD ABDALLAH-HIJAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12125 HIGHWAY 90, LULING, LA 70070-3000
(985) 785-9054
Mailing address
801 HERITAGE AVE, GRETNA, LA 70056-5211
(504) 617-0992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048414
LA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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