Individual
BASHEER ALTAIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 KENTUCKY ST, DEARBORN, MI 48126
(313) 929-7667
Mailing address
7700 KENTUCKY ST, DEARBORN, MI 48126-1208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040609
MI
Other
Enumeration date
08/21/2014
Last updated
03/29/2021
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