Individual
TARIK HASAN ABUDAYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2001 CAROL SUE AVE, GRETNA, LA 70056-4445
(504) 366-1535
Mailing address
145 FIRETHORN DR, GRETNA, LA 70056-7849
(504) 388-7932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024147
LA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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