Provider Demographics
NPI:1366599953
Name:HAMAD, FADI (PHARMD)
Entity type:Individual
Prefix:MR
First Name:FADI
Middle Name:
Last Name:HAMAD
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 1:4952 CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4940
Mailing Address - Country:US
Mailing Address - Phone:954-480-2772
Mailing Address - Fax:
Practice Address - Street 1:2581 N HIATUS RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1371
Practice Address - Country:US
Practice Address - Phone:954-435-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist