Provider Demographics
NPI:1265153886
Name:ALHASAN, INAS
Entity type:Individual
Prefix:
First Name:INAS
Middle Name:
Last Name:ALHASAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 BIRMINGHAM LN APT 105
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2036
Mailing Address - Country:US
Mailing Address - Phone:901-826-2119
Mailing Address - Fax:
Practice Address - Street 1:4430 BIRMINGHAM LN APT 105
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2036
Practice Address - Country:US
Practice Address - Phone:901-826-2119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000045943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist