Individual
ALI AWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3255 OWEN RD, FENTON, MI 48430-1755
(810) 714-2406
Mailing address
3255 OWEN RD, FENTON, MI 48430-1755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415342
MI
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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