MEDICARE: ALI HAMAD PHARMD

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
1	183500000X	Pharmacist	5302041790	MI

General Provider Information

NPI Number	:	1154705580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI HAMAD PHARMD

Provider Business Mailing Address
First Line	:	6225 PENROD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3871
Country	:	US
Telephone Number	:	313-443-4787
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 INKSTER RD
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-1209
Country	:	US
Telephone Number	:	313-724-8382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2015
Last Update Date	:	07/15/2015

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