Individual
ALI CHAMMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27151 WILSON DR, DEARBORN HEIGHTS, MI 48127-3601
(313) 404-9584
Mailing address
27151 WILSON DR, DEARBORN HEIGHTS, MI 48127-3601
(313) 404-9584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413204
MI
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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