Individual
FATEMEH GHOREISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19800 PLYMOUTH RD, DETROIT, MI 48228-1234
(313) 273-9219
Mailing address
2774 PALMERSTON DR, TROY, MI 48084-1022
(248) 825-2588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034949
MI
183500000X
Pharmacist
5302304949
MI
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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