Individual
KHIERIEH NABOULSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21911 W 11 MILE RD, SOUTHFIELD, MI 48076-3742
(248) 353-9898
(248) 353-6400
Mailing address
21911 W 11 MILE RD, SOUTHFIELD, MI 48076-3742
(248) 353-9898
(248) 353-6400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302769496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302029496
LICENSE NO.
MI
Enumeration date
01/30/2020
Last updated
09/11/2025
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