Individual
HUSSAM HASSAN HAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 ELDEN ST, HERNDON, VA 20170-4722
(703) 796-6482
Mailing address
9717 COUNSELLOR DR, VIENNA, VA 22181-3252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206727
VA
183500000X
Pharmacist
124591
MN
183500000X
Pharmacist
16781
MD
183500000X
Pharmacist
65945
TX
183500000X
Pharmacist
PH100000185
DC
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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