Provider Demographics
NPI:1821692559
Name:HOBBS, SAIDEH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SAIDEH
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 UTICA SELLERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-9348
Mailing Address - Country:US
Mailing Address - Phone:812-406-5569
Mailing Address - Fax:
Practice Address - Street 1:1301 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-7747
Practice Address - Country:US
Practice Address - Phone:812-218-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019657A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist