Individual
GINO HASSAN GHAMLOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
19818 KELLY RD, HARPER WOODS, MI 48225-1914
(313) 526-7900
Mailing address
351 BRENTWOOD DR, DEARBORN, MI 48124-1177
(313) 352-2777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
530241933
MI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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