Individual
MAIE H ELKASSABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2701 S CEDAR ST, LANSING, MI 48910-3028
(517) 272-9190
(517) 272-9464
Mailing address
6019 HART ST, EAST LANSING, MI 48823-2213
(517) 351-8406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029841
MI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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