Individual
FOUAD OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 E ALEXANDRINE ST, DETROIT, MI 48201
(313) 832-2050
Mailing address
40 E ALEXANDRINE ST, DETROIT, MI 48201-2012
(313) 485-2971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042238
MI
Other
Enumeration date
05/24/2018
Last updated
06/07/2018
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