Provider Demographics
NPI:1104146752
Name:HAMI, MAZIN J (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MAZIN
Middle Name:J
Last Name:HAMI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9759 MISSION GORGE RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-3809
Mailing Address - Country:US
Mailing Address - Phone:619-449-1950
Mailing Address - Fax:619-449-4446
Practice Address - Street 1:9759 MISSION GORGE RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-3809
Practice Address - Country:US
Practice Address - Phone:619-449-1950
Practice Address - Fax:619-449-4446
Is Sole Proprietor?:No
Enumeration Date:2010-06-06
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist