Individual
FARAH KHALIFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 WOODWARD AVE STE 100RX, DETROIT, MI 48226-3516
(313) 771-6039
(313) 771-6040
Mailing address
4886 MADDIE LN, DEARBORN, MI 48126-4173
(734) 612-8886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045142
MI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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