Individual
HABTE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1506 MENTOR AVE, PAINESVILLE, OH 44077-1705
(313) 316-4015
Mailing address
275 E PALMER ST, DETROIT, MI 48202-3823
(313) 316-4015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413201
MI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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