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NPI Code Detail

MEDICARE: AMATALJALIL ALJAHMI PHARMD

MEDICARE: AMATALJALIL ALJAHMI 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
1183500000XPharmacist5302043452MI

General Provider Information

NPI Number : 1851810675
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMATALJALIL ALJAHMI PHARMD
Provider Business Mailing Address
First Line : 5063 MIDDLESEX ST
Second Line :
City : DEARBORN
State : MI
Zip : 48126-5017
Country : US
Telephone Number : 313-247-4574
Fax Number :
Provider Business Practice Location Address
First Line : 3040 E 7 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48234-1662
Country : US
Telephone Number : 313-891-2253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2017
Last Update Date : 09/13/2017

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Directions to “ AMATALJALIL ALJAHMI PHARMD” Practice Location

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