Individual
FADY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36A MAIN ST, BLOOMINGDALE, NJ 07403-1724
(347) 400-9869
Mailing address
36A MAIN ST, BLOOMINGDALE, NJ 07403-1724
(347) 400-9869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03626600
NJ
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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