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Individual

RAAED HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4612
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018846
LA

Other

Enumeration date
04/28/2011
Last updated
04/28/2011
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