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Individual

YASIR ALTAMIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3145 ANN ARBOR SALINE RD, ANN ARBOR, MI 48103-9711
(734) 997-3910
Mailing address
6783 WINTHROP ST, DETROIT, MI 48228-3767

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302413956
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2134388
MEIJER EMPLOYEE ID
MI
Enumeration date
11/05/2021
Last updated
11/05/2021
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