MEDICARE: RAGHAD AL-JORANI

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	5302412899	MI

General Provider Information

NPI Number	:	1780297689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAGHAD AL-JORANI

Provider Business Mailing Address
First Line	:	29684 KENLOCH DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-1916
Country	:	US
Telephone Number	:	248-910-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	27401 6 MILE RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3834
Country	:	US
Telephone Number	:	734-762-0627
Fax Number	:

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

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	08/28/2020

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Directions to “ RAGHAD AL-JORANI ” Practice Location

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