Healthcare Provider Details

I. General information

NPI: 1245163898
Provider Name (Legal Business Name): HODA MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 18 MILE RD
STERLING HEIGHTS MI
48314-3901
US

IV. Provider business mailing address

7558 STATE PARK
CENTER LINE MI
48015-1030
US

V. Phone/Fax

Practice location:
  • Phone: 586-803-6271
  • Fax:
Mailing address:
  • Phone: 586-803-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418790
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: