Individual
DR. AMANDA FAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1026 N MAIN ST, ROYAL OAK, MI 48067-1317
(248) 546-4620
Mailing address
918 DAHLIA LN, ROCHESTER HILLS, MI 48307-3306
(248) 935-2452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412012
MI
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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