Individual
ALI SHEHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46983 FIVE MILE RD, PLYMOUTH, MI 48170-2486
(313) 737-3331
Mailing address
46983 FIVE MILE RD, PLYMOUTH, MI 48170-2486
(734) 404-6065
(734) 892-2909
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
04/14/2021
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