Individual
HATEM FALLOUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 E STATE ST, ATHENS, OH 45701-2104
(740) 593-8501
Mailing address
15 S SHAFER ST APT 401, ATHENS, OH 45701-2770
(734) 299-6387
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03440733
OH
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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