| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HASHAM JADALLAH | 1588745996 | 2024-01-07 |
Hasham Jadallah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588745996. Registration indicates Hasham Jadallah is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Hasham Jadallah |
| Practice Office Address | 110 ADELAIDE ST DETROIT, MI US |
| Practice Office Telephone | 3134050016 |
| Mailing Address | 110 ADELAIDE ST DETROIT, MI 482013113 US |
| Business Telephone | 3134050016 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 5302030852
MI |