Individual
HASSANE FADLALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10066 DIX, DEARBORN, MI 48120-1551
(313) 843-2400
(313) 843-2402
Mailing address
10066 DIX, DEARBORN, MI 48120-1551
(313) 843-2400
(313) 843-2402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027840
MI
Other
Enumeration date
02/09/2017
Last updated
03/02/2017
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