Individual
MR. HASSANE I SHUAYTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
15000 GRATIOT AVE, SUITE 140, DETROIT, MI 48205-1973
(313) 521-7000
(313) 245-1942
Mailing address
15000 GRATIOT AVE, SUITE 140, DETROIT, MI 48205-1973
(313) 521-7000
(313) 245-1942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301006382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355469
—
MI
Enumeration date
09/13/2006
Last updated
07/08/2007
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