Provider Demographics
NPI:1043087091
Name:DARWISH, HANEEN NIZAR
Entity type:Individual
Prefix:
First Name:HANEEN
Middle Name:NIZAR
Last Name:DARWISH
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 1:637 MEURSAULT DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1121
Mailing Address - Country:US
Mailing Address - Phone:504-284-8182
Mailing Address - Fax:
Practice Address - Street 1:637 MEURSAULT DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1121
Practice Address - Country:US
Practice Address - Phone:504-284-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.025097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist