Individual
HASSAN A ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15301 NORMANDALE ST, DEARBORN, MI 48126-3025
(313) 485-0111
(810) 214-4162
Mailing address
15301 NORMANDALE ST, DEARBORN, MI 48126-3025
(313) 485-0111
(810) 214-4162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029410
MI
Other
Enumeration date
11/21/2019
Last updated
01/02/2020
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