Individual
MOHAMMED CHAMMOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5770 PLYMOUTH RD, ANN ARBOR, MI 48105-9312
(734) 214-1234
Mailing address
5770 PLYMOUTH RD, ANN ARBOR, MI 48105-9312
(734) 214-1234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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