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NPI Code Detail

MEDICARE: MRS. ALIDAH NATHOO RPH

MEDICARE:  MRS. ALIDAH  NATHOO  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
1183500000XPharmacist5302032230MI

General Provider Information

NPI Number : 1124197678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALIDAH NATHOO RPH
Provider Business Mailing Address
First Line : 47246 N POINTE DR
Second Line :
City : CANTON
State : MI
Zip : 48187-1448
Country : US
Telephone Number : 734-644-6710
Fax Number :
Provider Business Practice Location Address
First Line : 47246 N POINTE DR
Second Line :
City : CANTON
State : MI
Zip : 48187-1448
Country : US
Telephone Number : 734-644-6710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 06/24/2025

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Directions to “ MRS. ALIDAH NATHOO RPH” Practice Location

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