NPI 1003434085

Josef Hadib Nissan, PHARMD

Practitioner Pharmacist Cleveland, OH

Practice location

Address: 2500 Metrohealth Dr, Cleveland, OH 44109-1900
Phone: (216) 778-4508
Mailing address: 1633 Cedarwood Dr APT 322, Westlake, OH 44145-1823

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 03439805 (OH)

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Registry record

NPI: 1003434085
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2020
Record last updated: 7 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.