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NPI Code Detail

MEDICARE: MONA HAMMOUD RPH

MEDICARE: MONA HAMMOUD RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302031588MI

General Provider Information

NPI Number : 1063792679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA HAMMOUD RPH
Provider Business Mailing Address
First Line : 25700 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3026
Country : US
Telephone Number : 313-282-8932
Fax Number :
Provider Business Practice Location Address
First Line : 25700 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3026
Country : US
Telephone Number : 313-359-9640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 08/26/2011

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