Individual
MR. HUSSAM H MUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6635 SCHAEFER RD, DEARBORN, MI 48126-1812
(313) 582-1800
(313) 582-2894
Mailing address
6635 SCHAEFER RD, DEARBORN, MI 48126-1812
(313) 582-1800
(313) 582-2894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
383430650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2358922
NCPDP
MI
Enumeration date
05/25/2006
Last updated
01/06/2017
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