Individual
HANIA ITAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-3456
Mailing address
590 W MAIN ST, NEW LEBANON, OH 45345-9172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03132563
OH
183500000X
Pharmacist
5302039137
MI
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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