MEDICARE: LAYAL KATRIB 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	5302412628	MI

General Provider Information

NPI Number	:	1518657410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAYAL KATRIB PHARMD

Provider Business Mailing Address
First Line	:	1619 N SILVERY LN
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1084
Country	:	US
Telephone Number	:	734-927-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	23000 TELEGRAPH RD
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-9265
Country	:	US
Telephone Number	:	734-931-8180
Fax Number	:

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

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/12/2023

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Directions to “ LAYAL KATRIB PHARMD” Practice Location

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