MEDICARE: HASSEN SAAD

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	5302032616	MI

General Provider Information

NPI Number	:	1174179642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HASSEN SAAD

Provider Business Mailing Address
First Line	:	26737 TIMBER TRL
Second Line	:
City	:	DEARBORN HTS
State	:	MI
Zip	:	48127-3375
Country	:	US
Telephone Number	:	313-806-8966
Fax Number	:

Provider Business Practice Location Address
First Line	:	15014 E 8 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1352
Country	:	US
Telephone Number	:	313-598-3031
Fax Number	:

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

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	08/12/2019

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Directions to “ HASSEN SAAD ” Practice Location

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