Provider Demographics
NPI:1811975337
Name:H.A.H. INCORPORATED
Entity type:Organization
Organization Name:H.A.H. INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-SOLE SHAREHOLDER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:213-483-4330
Mailing Address - Street 1:2035 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4023
Mailing Address - Country:US
Mailing Address - Phone:213-483-4330
Mailing Address - Fax:213-483-1986
Practice Address - Street 1:2035 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4023
Practice Address - Country:US
Practice Address - Phone:213-483-4330
Practice Address - Fax:213-483-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37656333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy