Hadeel Alnshaah

Individual provider Active NPI Pharmacist · St Johns, FL

NPI 1629898960 · NPPES record last updated Oct 11, 2024

Key facts

NPI
1629898960
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS67692 (FL)
Practice address
200 Crooked CT
St Johns, FL 32259-4497
Phone
(904) 572-9942
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS67692FLMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS67692 FL Yes

Addresses

Primary practice location

200 Crooked CT
St Johns, FL 32259-4497

Mailing address

174 Cypress Point Pkwy
Palm Coast, FL 32164-7438
Phone (386) 446-8486

Other providers in St Johns, FL

All providers in St Johns, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.