Healthcare Provider Details

I. General information

NPI: 1427128537
Provider Name (Legal Business Name): RPH II INVESTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 17 MILE RD
STERLING HEIGHTS MI
48310-6803
US

IV. Provider business mailing address

2101 17 MILE RD
STERLING HEIGHTS MI
48310-6803
US

V. Phone/Fax

Practice location:
  • Phone: 158-697-7339
  • Fax: 158-697-7352
Mailing address:
  • Phone: 158-697-7339
  • Fax: 158-697-7352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number5301005480
License Number StateMI

VIII. Authorized Official

Name: MR. NABIL L ZAWAIDEH
Title or Position: PHARMACIST
Credential: RPH
Phone: 15869773397