Individual
ALI J FAKIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24401 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 532-3784
Mailing address
1515 DACOSTA ST, DEARBORN, MI 48128-1428
(313) 477-3005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028259
MI
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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