Individual
HIBA AL-NUSAIRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
523 S STATE ROAD 67, MOORESVILLE, IN 46158-2792
(317) 831-2661
Mailing address
7717 CANFORD ST APT E, CAMBY, IN 46113-7753
(317) 748-8820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030643A
IN
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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