Individual provider · NPI-1

Ala F Abdelrazzaq, RPH

Pharmacist · Sterling Heights, MI

NPI number1932730736
StatusActive
Last updated in NPPESJan 30, 2020

Details

NPI
1932730736
Entity type
Individual (NPI-1)
Name
Ala F Abdelrazzaq
Credential
RPH
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 30, 2020
Certification date
Jan 30, 2020
Last updated
Jan 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302036823MIYes

Practice location

36378 Dominion Cir
Sterling Heights, MI 48310-7458

Phone 317-590-4345

Mailing address

36378 Dominion Cir
Sterling Heights, MI 48310-7458

Phone 317-590-4345

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