Individual
HIBA AZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27555 JEAN RD, WARREN, MI 48093-4402
(360) 540-0639
Mailing address
27555 JEAN RD, WARREN, MI 48093-4402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302418118
MI
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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