Most Relevant Information
Provider Data
| NPI Number: | 1003434085 |
| Provider Name: | JOSEF HADIB NISSAN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03439805 |
Most Important Dates
| Enumeration Date: | 07/07/2020 |
| Last Updated: | 07/07/2020 |
Provider Practice Location
2500 METROHEALTH DR
CLEVELAND
OH
441091900
Practice Location Phone/Fax
| Phone: | 2167784508 |
| Fax: |
Provider Mailing Location
1633 CEDARWOOD DR APT 322
WESTLAKE
OH
441451823
Provider Mailing Phone/Fax
| Phone: | 4405967653 |
| Fax: |