Individual
FAROUK KASSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10041 FENKELL ST, DETROIT, MI 48238-1643
(313) 933-0630
Mailing address
10041 FENKELL ST, DETROIT, MI 48238-1643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044099
MI
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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