Provider Demographics
NPI:1053937565
Name:MUHYEDDIN, HANEEN AMJAD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HANEEN
Middle Name:AMJAD
Last Name:MUHYEDDIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-9301
Mailing Address - Country:US
Mailing Address - Phone:704-543-6255
Mailing Address - Fax:704-543-6257
Practice Address - Street 1:3209 PINEVILLE MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-9301
Practice Address - Country:US
Practice Address - Phone:704-543-6255
Practice Address - Fax:704-543-6257
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist