Individual
AMRAN N HIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36567 GODDARD RD, ROMULUS, MI 48174-1232
(734) 941-0755
Mailing address
36567 GODDARD RD, ROMULUS, MI 48174-1232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19168090638
MI
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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