Individual
HASSAN SHUKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13601 W WARREN AVE, DEARBORN, MI 48126-1420
(313) 624-9530
Mailing address
5934 KENDAL ST, DEARBORN, MI 48126-2182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030426
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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