Organization
ICAHN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHA JIDDOU (OWNER)
(248) 789-0999
Entity
Organization
Contact information
Practice address
200 ARNET ST STE 110, YPSILANTI, MI 48198-5753
(248) 789-0999
Mailing address
200 ARNET ST STE 110, YPSILANTI, MI 48198-5753
(248) 789-0999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301011101
MI
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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