Individual
MR. HISHAM N SAHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5859 28TH ST SE, GRAND RAPIDS, MI 49546-6905
(616) 949-9892
(616) 949-5709
Mailing address
522 ELM ST, BIG RAPIDS, MI 49307-1818
(616) 808-6837
(616) 949-5709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026139
MI
Other
Enumeration date
04/23/2008
Last updated
06/17/2016
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