Provider Demographics
NPI:1811471436
Name:HAMIN, HASINA
Entity type:Individual
Prefix:
First Name:HASINA
Middle Name:
Last Name:HAMIN
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 1:4200 HERITAGE VIEW TRL
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3925
Mailing Address - Country:US
Mailing Address - Phone:516-582-4561
Mailing Address - Fax:
Practice Address - Street 1:2202 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1724
Practice Address - Country:US
Practice Address - Phone:919-739-5539
Practice Address - Fax:919-739-9573
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist