Individual
ALI HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16108 FOOTHILL BLVD, FONTANA, CA 92335-3356
(909) 357-6900
Mailing address
16108 FOOTHILL BLVD, FONTANA, CA 92335-3356
(909) 357-6900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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