Individual
ABDULGHNI HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13601 WARREN, DEARBORN, MI 48126
(313) 624-9530
Mailing address
7437 INDIANA ST, DEARBORN, MI 48126-1607
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302035750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302035750
PHARMACY LICENSE NUMBER
MI
Enumeration date
10/06/2011
Last updated
10/06/2011
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