Provider Demographics
NPI:1396483228
Name:HASID, CAROLINE (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:HASID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 KANE CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2107
Mailing Address - Country:US
Mailing Address - Phone:954-649-6262
Mailing Address - Fax:305-763-8587
Practice Address - Street 1:1086 KANE CONCOURSE
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2107
Practice Address - Country:US
Practice Address - Phone:954-649-6262
Practice Address - Fax:305-763-8587
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist