Individual
MR. KHODR M BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
181 N WAYNE RD, WESTLAND, MI 48185-3624
(734) 589-0400
Mailing address
400 WOODCREST DR, DEARBORN, MI 48124-1141
(313) 414-5507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027084
MI
Other
Enumeration date
06/04/2010
Last updated
07/21/2022
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