Provider Demographics
NPI:1326691528
Name:SAADAT, ADAM HASSAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:HASSAN
Last Name:SAADAT
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 1:217 LAKE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-9035
Mailing Address - Country:US
Mailing Address - Phone:318-557-5869
Mailing Address - Fax:
Practice Address - Street 1:2517 KALISTE SALOOM RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6811
Practice Address - Country:US
Practice Address - Phone:337-216-9187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.022914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist