Provider Demographics
NPI:1417285362
Name:HASANALI, RIYAD AMIRALI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RIYAD
Middle Name:AMIRALI
Last Name:HASANALI
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 1:10650 TOEPPERWEIN RD
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2476
Mailing Address - Country:US
Mailing Address - Phone:210-659-8177
Mailing Address - Fax:210-659-9169
Practice Address - Street 1:10650 TOEPPERWEIN RD
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2476
Practice Address - Country:US
Practice Address - Phone:210-659-8177
Practice Address - Fax:210-659-9169
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist