Provider Demographics
NPI:1447492202
Name:ABUISSA, HALA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:HALA
Middle Name:
Last Name:ABUISSA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 KOSER AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3036
Mailing Address - Country:US
Mailing Address - Phone:989-400-2857
Mailing Address - Fax:
Practice Address - Street 1:325 KOSER AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-3036
Practice Address - Country:US
Practice Address - Phone:989-400-2857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036881183500000X
IA20646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist