Individual
MAHMOUD A-M FAREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21211 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2208
(586) 776-7052
(586) 776-7148
Mailing address
PO BOX 7184, DEARBORN, MI 48121-7184
(202) 600-6681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412421
MI
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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