Individual
AHMAD ODEH SUKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27100 WIXOM RD., NOVI, MI 48374
(248) 374-0892
Mailing address
6369 SCOTER LN, YPSILANTI, MI 48197-8738
(734) 205-8183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302046260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1928334
CVS
MI
Enumeration date
11/16/2020
Last updated
11/16/2020
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