Provider Demographics
NPI:1003106857
Name:HADDAD, NADA R (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:NADA
Middle Name:R
Last Name:HADDAD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11417 SENECA FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4307
Mailing Address - Country:US
Mailing Address - Phone:301-528-9398
Mailing Address - Fax:202-449-8470
Practice Address - Street 1:11417 SENECA FOREST CIR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4307
Practice Address - Country:US
Practice Address - Phone:301-528-9398
Practice Address - Fax:202-449-8470
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15387183500000X
MI5302410938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist