Provider Demographics
NPI:1548740129
Name:ALHADDAD, ALIAA (RPH)
Entity Type:Individual
Prefix:
First Name:ALIAA
Middle Name:
Last Name:ALHADDAD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14845 S 41ST ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6799
Mailing Address - Country:US
Mailing Address - Phone:210-718-2322
Mailing Address - Fax:
Practice Address - Street 1:14845 S 41ST ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-6799
Practice Address - Country:US
Practice Address - Phone:210-718-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS023192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist