Hassan Mana Hassan
Individual provider Active NPI Pharmacist · Brook Park, OH
NPI 1083907604 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1083907604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03328872 (OH)
- Practice address
- 15149 Snow Rd
Brook Park, OH 44142-2458 - Phone
- (216) 676-5561
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03328872 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03328872 | OH | Yes |
Addresses
Primary practice location
15149 Snow Rd
Brook Park, OH 44142-2458
Mailing address
12521 Triskett Rd
Cleveland, OH 44111-2526
Phone (716) 316-5540
Other providers in Brook Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.