Madhoun, Issa Issa
Madhoun, Issa Issa is an sole proprietor health care provider with primary practice located at 1 Cvs Dr , Woonsocket RI 02895-6146. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Madhoun, Issa Issa can be contacted via phone (401) 765-1500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 085551 | New York |
Profile Details
| NPI number | 1992097588 |
|---|---|
| LBN Legal business name | Madhoun, Issa Issa |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2011 |
| Last updated | Aug 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992097588 | NPPES |
| New York | MEDICAID | 02142143 |
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