Individual
IHAB FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 ANTIOCH CT, NEW CASTLE, DE 19720-3704
(302) 332-3128
Mailing address
27 ANTIOCH CT, NEW CASTLE, DE 19720-3704
(302) 332-3128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0015731
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1765704
DRIVER LICENCE
DE
Enumeration date
10/21/2021
Last updated
10/23/2021
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