Individual
FARIS MAZEN GAMMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
35814 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-4290
(586) 698-1874
(586) 698-1875
Mailing address
35814 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-4290
(586) 698-1874
(586) 698-1875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043431
MI
3336C0003X
Community/Retail Pharmacy
5301010649
MI
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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