Individual
FOUAD FARDOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8000 W OUTER DR, DETROIT, MI 48235-3210
(313) 806-8966
Mailing address
24221 FAIRMOUNT DR, DEARBORN, MI 48124-1539
(313) 445-3262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028624
MI
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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