Provider Demographics
NPI:1346386901
Name:HADI HAUS INC
Entity Type:Organization
Organization Name:HADI HAUS INC
Other - Org Name:FARMACIA PARQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL HADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-785-7284
Mailing Address - Street 1:6 CALLE PARQUE
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6218
Mailing Address - Country:US
Mailing Address - Phone:787-785-7284
Mailing Address - Fax:787-785-1179
Practice Address - Street 1:6 CALLE PARQUE
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6218
Practice Address - Country:US
Practice Address - Phone:787-785-7284
Practice Address - Fax:787-785-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17F11953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2085379OtherPK