Healthcare Provider Details

I. General information

NPI: 1346870649
Provider Name (Legal Business Name): RAMSEY ABDULLA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3902 MONROE ST
DEARBORN HEIGHTS MI
48125-2545
US

IV. Provider business mailing address

3902 MONROE ST
DEARBORN HEIGHTS MI
48125-2545
US

V. Phone/Fax

Practice location:
  • Phone: 313-385-5585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302042165
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: