Individual
ALI HASSAN JALLOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
42481 W 13 MILE RD, NOVI, MI 48377-2009
(248) 668-8208
Mailing address
6337 OAKMAN BLVD, DEARBORN, MI 48126-2311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043280
MI
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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