Individual
ALA F ABDELRAZZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
36378 DOMINION CIR, STERLING HEIGHTS, MI 48310-7458
(317) 590-4345
Mailing address
36378 DOMINION CIR, STERLING HEIGHTS, MI 48310-7458
(317) 590-4345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302036823
STATE LICENSE
MI
Enumeration date
01/30/2020
Last updated
01/30/2020
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