Provider Demographics
NPI:1952711509
Name:HASCICEK, AHMET HAMDI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AHMET
Middle Name:HAMDI
Last Name:HASCICEK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 S BYRON BUTLER PKWY
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32348-5507
Mailing Address - Country:US
Mailing Address - Phone:850-838-1871
Mailing Address - Fax:850-838-3716
Practice Address - Street 1:1809 S BYRON BUTLER PKWY
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32348-5507
Practice Address - Country:US
Practice Address - Phone:850-838-1871
Practice Address - Fax:850-838-3716
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist