Individual
ESLAM HABIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
14500 PROSPECT ST, 135, DEARBORN, MI 48126
(347) 615-1738
Mailing address
14500 PROSPECT ST APT 135, DEARBORN, MI 48126-3451
(347) 615-1738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03456400
NJ
183500000X
Pharmacist
51186
TX
183500000X
Pharmacist
Primary
5302041140
MI
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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