Individual
IMAD ALI MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13580 GRAND RIVER AVE, DETROIT, MI 48227-3522
(313) 653-3427
(313) 653-3034
Mailing address
13580 GRAND RIVER AVE, DETROIT, MI 48227-3522
(313) 653-3427
(313) 653-3034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5315179007
MI
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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