Provider Demographics
NPI:1164892279
Name:HARTMAN, HAKEEM GEORGE-MICHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAKEEM
Middle Name:GEORGE-MICHAEL
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 E, AZALEA DRIVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-3228
Mailing Address - Country:US
Mailing Address - Phone:480-262-5067
Mailing Address - Fax:
Practice Address - Street 1:1647 E AZALEA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-3228
Practice Address - Country:US
Practice Address - Phone:480-262-5067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0215931835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care