Individual
FARAH JALLOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6756 AMBOY ST, DEARBORN HEIGHTS, MI 48127-3966
(313) 766-3151
Mailing address
6756 AMBOY ST, DEARBORN HEIGHTS, MI 48127-3966
(313) 766-3151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042011
MI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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