Individual
BASMA MAKANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
295 S BROADWAY ST, LAKE ORION, MI 48362-2738
(248) 814-6521
Mailing address
295 S BROADWAY ST, LAKE ORION, MI 48362-2738
(248) 814-6521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412385
MI
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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